Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $686.14 / $2,183.73 / $7,920.26	Facility		$686.14	$2,183.73	$7,920.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $710.43 / $899.85 / $1,362.41	Professional		$710.43	$899.85	$1,362.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $481.08 / $836.78 / $1,309.03	Facility		$481.08	$836.78	$1,309.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $613.25 / $1,034.14 / $1,149.05	Facility		$613.25	$1,034.14	$1,149.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $481.08 / $836.78 / $1,431.40	Facility		$481.08	$836.78	$1,431.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,719.37 / $4,090.62 / $6,069.32	Facility		$1,719.37	$4,090.62	$6,069.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00