Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $953.35 / $9,338.46 / $30,593.00	Facility		$953.35	$9,338.46	$30,593.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,375.60 / $4,375.60 / $6,523.41	Facility		$4,375.60	$4,375.60	$6,523.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $807.63 / $1,186.59 / $10,092.12	Professional		$807.63	$1,186.59	$10,092.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $641.30 / $3,810.39 / $12,863.81	Facility		$641.30	$3,810.39	$12,863.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $868.32 / $7,892.54 / $9,300.27	Facility		$868.32	$7,892.54	$9,300.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $647.62 / $4,659.60 / $12,863.81	Facility		$647.62	$4,659.60	$12,863.81
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