Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $834.13 / $2,747.00 / $7,920.26	Facility		$834.13	$2,747.00	$7,920.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $793.03 / $959.11 / $1,211.58	Professional		$793.03	$959.11	$1,211.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $491.90 / $717.60 / $1,079.83	Facility		$491.90	$717.60	$1,079.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $562.50 / $842.86 / $1,005.67	Facility		$562.50	$842.86	$1,005.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $495.00 / $729.90 / $1,277.71	Facility		$495.00	$729.90	$1,277.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,868.81 / $5,124.10 / $6,421.06	Facility		$3,868.81	$5,124.10	$6,421.06
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00