Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,967.00 / $9,982.00 / $22,404.00	Facility		$1,967.00	$9,982.00	$22,404.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $2,415.00 / $13,724.00	Facility		$350.00	$2,415.00	$13,724.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $322.00 / $6,266.44	Facility		$200.00	$322.00	$6,266.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,004.00 / $2,004.00 / $3,180.00	Facility		$2,004.00	$2,004.00	$3,180.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $2,400.00 / $2,600.00	Facility		$2,400.00	$2,400.00	$2,600.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $455.00 / $17,001.41 / $35,173.12	Facility		$455.00	$17,001.41	$35,173.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,987.00 / $1,987.00 / $1,987.00	Facility		$1,987.00	$1,987.00	$1,987.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,084.00 / $2,400.00 / $4,230.00	Facility		$1,084.00	$2,400.00	$4,230.00