Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.69 / $2,747.00 / $7,920.26	Facility		$197.69	$2,747.00	$7,920.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $184.91 / $227.46 / $329.83	Professional		$184.91	$227.46	$329.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $120.08 / $196.46 / $349.43	Facility		$120.08	$196.46	$349.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $163.21 / $255.68 / $280.16	Facility		$163.21	$255.68	$280.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.08 / $196.46 / $354.40	Facility		$120.08	$196.46	$354.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,265.38 / $2,911.98 / $3,412.14	Facility		$2,265.38	$2,911.98	$3,412.14
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00