Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $2,261.13 / $7,920.26	Facility		$988.00	$2,261.13	$7,920.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $974.24 / $1,219.33 / $1,824.99	Professional		$974.24	$1,219.33	$1,824.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $629.61 / $1,090.82 / $1,751.30	Facility		$629.61	$1,090.82	$1,751.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $869.41 / $1,368.91 / $1,560.43	Facility		$869.41	$1,368.91	$1,560.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $629.61 / $1,090.82 / $2,103.89	Facility		$629.61	$1,090.82	$2,103.89
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