Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $890.26 / $4,441.85 / $13,746.00	Facility		$890.26	$4,441.85	$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 $833.94 / $1,644.83 / $4,326.91	Professional		$833.94	$1,644.83	$4,326.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $563.55 / $1,644.83 / $4,083.60	Facility		$563.55	$1,644.83	$4,083.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $793.95 / $3,171.11 / $3,573.78	Facility		$793.95	$3,171.11	$3,573.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $563.55 / $2,734.76 / $4,686.93	Facility		$563.55	$2,734.76	$4,686.93
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