Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $324.95 / $1,486.00 / $14,593.03	Facility		$324.95	$1,486.00	$14,593.03
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 $335.61 / $424.31 / $829.01	Professional		$335.61	$424.31	$829.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $219.48 / $460.95 / $742.02	Facility		$219.48	$460.95	$742.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $303.29 / $582.23 / $685.41	Facility		$303.29	$582.23	$685.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $219.48 / $499.05 / $893.28	Facility		$219.48	$499.05	$893.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,265.38 / $2,911.98 / $3,609.89	Facility		$2,265.38	$2,911.98	$3,609.89
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