Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.92 / $4,704.00 / $8,728.00	Facility		$225.92	$4,704.00	$8,728.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $451.00 / $451.00 / $451.00	Facility		$451.00	$451.00	$451.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $163.46 / $214.60 / $238.44	Professional		$163.46	$214.60	$238.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $106.53 / $164.96 / $292.49	Facility		$106.53	$164.96	$292.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $142.88 / $198.32 / $206.36	Facility		$142.88	$198.32	$206.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.33 / $237.69 / $3,023.00	Facility		$125.33	$237.69	$3,023.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,454.55 / $6,944.43 / $8,747.84	Facility		$5,454.55	$6,944.43	$8,747.84
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