Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $794.33 / $7,943.28	Facility		$416.87	$794.33	$7,943.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $616.60 / $741.31	Professional		$467.74	$616.60	$741.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $501.19 / $794.33	Facility		$316.23	$501.19	$794.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $616.60 / $660.69	Facility		$537.03	$616.60	$660.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $512.86 / $758.58	Facility		$316.23	$512.86	$758.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility		$1,737.80	$1,737.80	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $10,232.93 / $37,153.52	Facility		$2,454.71	$10,232.93	$37,153.52