Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,122.02 / $13,182.57	Facility		$851.14	$1,122.02	$13,182.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $794.33 / $891.25	Professional		$389.05	$794.33	$891.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $660.69 / $1,412.54	Facility		$436.52	$660.69	$1,412.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $812.83 / $851.14	Facility		$645.65	$812.83	$851.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $676.08 / $1,071.52	Facility		$426.58	$676.08	$1,071.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $7,413.10 / $8,912.51	Facility		$5,754.40	$7,413.10	$8,912.51
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,754.40 / $10,000.00	Facility		$1,698.24	$5,754.40	$10,000.00