Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $728.35 / $6,096.00 / $8,728.00	Facility		$728.35	$6,096.00	$8,728.00
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 $745.15 / $3,172.91 / $8,406.98	Professional		$745.15	$3,172.91	$8,406.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $504.46 / $4,179.05 / $7,970.24	Facility		$504.46	$4,179.05	$7,970.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $714.22 / $6,079.93 / $7,369.84	Facility		$714.22	$6,079.93	$7,369.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $504.46 / $5,366.45 / $9,099.29	Facility		$504.46	$5,366.45	$9,099.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $21,418.17 / $49,268.95	Facility		$16,860.72	$21,418.17	$49,268.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00