Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,099.48 / $4,962.67 / $15,341.00	Facility		$1,099.48	$4,962.67	$15,341.00
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 $931.51 / $1,091.09 / $1,309.01	Professional		$931.51	$1,091.09	$1,309.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $640.13 / $858.24 / $1,200.20	Facility		$640.13	$858.24	$1,200.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $632.76 / $931.60 / $993.61	Facility		$632.76	$931.60	$993.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $645.63 / $959.95 / $2,919.00	Facility		$645.63	$959.95	$2,919.00
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