Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $983.75 / $7,920.26 / $30,593.00	Facility		$983.75	$7,920.26	$30,593.00
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 $852.42 / $998.46 / $1,197.85	Professional		$852.42	$998.46	$1,197.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $594.72 / $827.70 / $1,090.55	Facility		$594.72	$827.70	$1,090.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $624.67 / $854.25 / $909.86	Facility		$624.67	$854.25	$909.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $626.02 / $895.21 / $5,217.00	Facility		$626.02	$895.21	$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