Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,078.76 / $5,649.00 / $15,341.00	Facility		$1,078.76	$5,649.00	$15,341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,310.00 / $2,310.00 / $2,406.86	Facility		$2,310.00	$2,310.00	$2,406.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $789.60 / $1,036.82 / $1,289.17	Professional		$789.60	$1,036.82	$1,289.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $524.02 / $863.42 / $1,306.95	Facility		$524.02	$863.42	$1,306.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $657.17 / $909.45 / $986.24	Facility		$657.17	$909.45	$986.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $536.69 / $956.30 / $1,695.99	Facility		$536.69	$956.30	$1,695.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,607.31 / $8,780.14 / $10,511.02	Facility		$6,607.31	$8,780.14	$10,511.02
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