Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,213.00 / $6,629.40 / $8,728.00	Facility		$3,213.00	$6,629.40	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.64 / $824.00 / $3,048.00	Professional		$123.64	$824.00	$3,048.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,341.30 / $2,341.30 / $2,341.30	Facility		$2,341.30	$2,341.30	$2,341.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $170.00 / $178.00	Professional		$170.00	$170.00	$178.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $661.73 / $889.10 / $2,212.00	Facility		$661.73	$889.10	$2,212.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,341.30 / $2,341.30 / $1,644,515.72	Facility		$2,341.30	$2,341.30	$1,644,515.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,153.07 / $2,975.12 / $3,619.70	Facility		$2,153.07	$2,975.12	$3,619.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $724.54 / $1,047.95 / $1,133.09	Professional		$724.54	$1,047.95	$1,133.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,472.00 / $4,880.00 / $7,233.00	Facility		$1,472.00	$4,880.00	$7,233.00