Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $948.27 / $4,446.05 / $13,746.00	Facility		$948.27	$4,446.05	$13,746.00
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 $884.82 / $1,645.68 / $4,324.34	Professional		$884.82	$1,645.68	$4,324.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $599.29 / $1,645.68 / $4,118.46	Facility		$599.29	$1,645.68	$4,118.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $846.21 / $3,200.59 / $3,586.29	Facility		$846.21	$3,200.59	$3,586.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $599.29 / $2,738.51 / $4,710.97	Facility		$599.29	$2,738.51	$4,710.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $10,171.54 / $12,117.15	Facility		$7,715.78	$10,171.54	$12,117.15
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