Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $917.69 / $7,920.26 / $20,400.00	Facility		$917.69	$7,920.26	$20,400.00
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 $793.96 / $929.99 / $1,115.72	Professional		$793.96	$929.99	$1,115.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $590.70 / $772.52 / $1,025.95	Facility		$590.70	$772.52	$1,025.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $593.88 / $806.68 / $852.72	Facility		$593.88	$806.68	$852.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $590.70 / $840.23 / $5,217.00	Facility		$590.70	$840.23	$5,217.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $21,418.17 / $26,781.36	Facility		$16,860.72	$21,418.17	$26,781.36
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