Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,028.33 / $7,074.00 / $20,400.00	Facility		$1,028.33	$7,074.00	$20,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $957.58 / $1,121.64 / $1,345.64	Professional		$957.58	$1,121.64	$1,345.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $673.70 / $931.24 / $1,318.35	Facility		$673.70	$931.24	$1,318.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $723.40 / $992.27 / $1,037.83	Facility		$723.40	$992.27	$1,037.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $698.25 / $1,001.49 / $2,748.00	Facility		$698.25	$1,001.49	$2,748.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $165.89 / $165.89 / $165.89	Facility	AS	$165.89	$165.89	$165.89
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