Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,908.68 / $8,878.56 / $20,400.00	Facility		$1,908.68	$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 $868.18 / $1,797.86 / $2,001.98	Professional		$868.18	$1,797.86	$2,001.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $868.18 / $1,345.68 / $2,220.51	Facility		$868.18	$1,345.68	$2,220.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,080.44 / $1,494.10 / $1,718.55	Facility		$1,080.44	$1,494.10	$1,718.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $983.38 / $1,890.74 / $7,339.00	Facility		$983.38	$1,890.74	$7,339.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,813.93 / $11,944.47 / $14,473.89	Facility		$8,813.93	$11,944.47	$14,473.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00