Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.04 / $2,747.00 / $7,920.26	Facility		$794.04	$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 $758.10 / $961.37 / $1,367.56	Professional		$758.10	$961.37	$1,367.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $512.20 / $833.86 / $1,322.39	Facility		$512.20	$833.86	$1,322.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $626.28 / $1,022.69 / $1,136.32	Facility		$626.28	$1,022.69	$1,136.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $512.20 / $833.86 / $1,587.40	Facility		$512.20	$833.86	$1,587.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,536.02 / $8,364.56 / $10,637.18	Facility		$6,536.02	$8,364.56	$10,637.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00