Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.78 / $9,338.46 / $30,593.00	Facility		$921.78	$9,338.46	$30,593.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,375.60 / $4,375.60 / $7,092.75	Facility		$4,375.60	$4,375.60	$7,092.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $780.25 / $1,146.35 / $9,977.14	Professional		$780.25	$1,146.35	$9,977.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $611.53 / $3,766.45 / $12,418.50	Facility		$611.53	$3,766.45	$12,418.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $827.45 / $7,801.54 / $9,073.81	Facility		$827.45	$7,801.54	$9,073.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $624.44 / $4,607.03 / $12,418.50	Facility		$624.44	$4,607.03	$12,418.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,624.30 / $18,659.50 / $21,600.03	Facility		$13,624.30	$18,659.50	$21,600.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,800.00 / $17,375.00 / $26,255.00	Facility		$2,800.00	$17,375.00	$26,255.00