Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $319.47 / $4,684.68 / $8,728.00	Facility		$319.47	$4,684.68	$8,728.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.79 / $1,487.79 / $1,937.44	Facility		$1,487.79	$1,487.79	$1,937.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $271.02 / $398.19 / $1,921.41	Professional		$271.02	$398.19	$1,921.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $219.74 / $802.65 / $2,427.57	Facility		$219.74	$802.65	$2,427.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $319.72 / $1,511.41 / $1,863.48	Facility		$319.72	$1,511.41	$1,863.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $219.74 / $1,131.00 / $2,427.57	Facility		$219.74	$1,131.00	$2,427.57
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,389.68 / $5,951.19 / $7,123.24	Facility		$4,389.68	$5,951.19	$7,123.24
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