Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $952.72 / $2,747.00 / $13,320.00	Facility		$952.72	$2,747.00	$13,320.00
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 $906.13 / $1,061.36 / $1,273.33	Professional		$906.13	$1,061.36	$1,273.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $639.67 / $880.40 / $1,178.95	Facility		$639.67	$880.40	$1,178.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $662.80 / $913.21 / $979.54	Facility		$662.80	$913.21	$979.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $673.35 / $962.89 / $2,748.00	Facility		$673.35	$962.89	$2,748.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,391.79 / $11,115.96 / $14,408.62	Facility		$8,391.79	$11,115.96	$14,408.62
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