Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,048.94 / $9,109.76 / $13,320.00	Facility		$1,048.94	$9,109.76	$13,320.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $2,406.86	Facility		$1,664.70	$1,664.70	$2,406.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $811.37 / $1,077.34 / $1,384.19	Professional		$811.37	$1,077.34	$1,384.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $500.51 / $889.25 / $1,386.66	Facility		$500.51	$889.25	$1,386.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $637.97 / $1,019.74 / $1,139.67	Facility		$637.97	$1,019.74	$1,139.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $510.01 / $933.71 / $1,481.94	Facility		$510.01	$933.71	$1,481.94
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 $1,533.00 / $8,336.14 / $12,786.00	Facility		$1,533.00	$8,336.14	$12,786.00