Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,563.55 / $8,878.56 / $20,400.00	Facility		$1,563.55	$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 $713.30 / $1,485.19 / $1,650.21	Professional		$713.30	$1,485.19	$1,650.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $713.30 / $1,124.01 / $1,903.96	Facility		$713.30	$1,124.01	$1,903.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $891.70 / $1,319.17 / $1,412.36	Facility		$891.70	$1,319.17	$1,412.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $837.02 / $1,522.60 / $5,949.00	Facility		$837.02	$1,522.60	$5,949.00
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