Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $748.70 / $6,072.60 / $12,519.60	Facility		$748.70	$6,072.60	$12,519.60
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 $700.73 / $4,630.62 / $12,298.68	Professional		$700.73	$4,630.62	$12,298.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $474.71 / $4,630.62 / $15,535.11	Facility		$474.71	$4,630.62	$15,535.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $684.16 / $9,591.50 / $11,955.48	Facility		$684.16	$9,591.50	$11,955.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $474.71 / $7,991.44 / $13,265.37	Facility		$474.71	$7,991.44	$13,265.37
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 $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00