Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,113.66 / $8,878.56 / $32,689.00	Facility		$1,113.66	$8,878.56	$32,689.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,059.63 / $2,059.63 / $2,406.86	Facility		$2,059.63	$2,059.63	$2,406.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $903.17 / $1,185.94 / $1,469.80	Professional		$903.17	$1,185.94	$1,469.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $610.79 / $988.56 / $1,502.25	Facility		$610.79	$988.56	$1,502.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $713.96 / $1,051.90 / $1,130.96	Facility		$713.96	$1,051.90	$1,130.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $632.54 / $1,103.76 / $1,944.85	Facility		$632.54	$1,103.76	$1,944.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,607.31 / $9,198.70 / $11,120.17	Facility		$6,607.31	$9,198.70	$11,120.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,895.00 / $11,770.00 / $26,404.00	Facility		$1,895.00	$11,770.00	$26,404.00