Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $7,943.28 / $24,547.09	Facility		$933.25	$7,943.28	$24,547.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $776.25 / $977.24	Professional		$588.84	$776.25	$977.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $630.96 / $11,481.54	Facility		$398.11	$630.96	$11,481.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $812.83 / $831.76	Facility		$602.56	$812.83	$831.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $602.56 / $1,096.48	Facility		$407.38	$602.56	$1,096.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $35,481.34 / $44,668.36 / $56,234.13	Facility		$35,481.34	$44,668.36	$56,234.13
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $20,892.96 / $56,234.13	Facility		$3,019.95	$20,892.96	$56,234.13