Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $502.82 / $1,355.89 / $7,920.26	Facility		$502.82	$1,355.89	$7,920.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $522.91 / $661.35 / $1,459.73	Professional		$522.91	$661.35	$1,459.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $351.61 / $691.42 / $1,232.08	Facility		$351.61	$691.42	$1,232.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $467.42 / $949.96 / $1,232.13	Facility		$467.42	$949.96	$1,232.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $351.61 / $724.07 / $1,394.79	Facility		$351.61	$724.07	$1,394.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,573.85 / $5,897.44 / $7,048.47	Facility		$4,573.85	$5,897.44	$7,048.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00