Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,403.51 / $8,878.56 / $20,400.00	Facility		$1,403.51	$8,878.56	$20,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $853.00 / $853.00 / $853.00	Facility		$853.00	$853.00	$853.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $640.17 / $1,328.17 / $1,476.22	Professional		$640.17	$1,328.17	$1,476.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $640.17 / $992.91 / $1,731.80	Facility		$640.17	$992.91	$1,731.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $817.59 / $1,195.28 / $1,265.63	Facility		$817.59	$1,195.28	$1,265.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $775.70 / $1,479.13 / $7,339.00	Facility		$775.70	$1,479.13	$7,339.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,698.81 / $7,379.02 / $8,723.76	Facility		$5,698.81	$7,379.02	$8,723.76
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