Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.54 / $2,747.00 / $7,920.26	Facility		$245.54	$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 $225.31 / $281.22 / $596.83	Professional		$225.31	$281.22	$596.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $148.88 / $311.27 / $576.17	Facility		$148.88	$311.27	$576.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $206.36 / $437.19 / $509.20	Facility		$206.36	$437.19	$509.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $148.88 / $363.82 / $652.16	Facility		$148.88	$363.82	$652.16
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