Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $603.87 / $4,962.67 / $15,341.00	Facility		$603.87	$4,962.67	$15,341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $523.33 / $612.99 / $735.42	Professional		$523.33	$612.99	$735.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $367.48 / $540.54 / $720.12	Facility		$367.48	$540.54	$720.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $374.03 / $516.28 / $561.46	Facility		$374.03	$516.28	$561.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $367.48 / $585.83 / $2,919.00	Facility		$367.48	$585.83	$2,919.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,846.16 / $6,142.31 / $7,227.91	Facility		$4,846.16	$6,142.31	$7,227.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00