Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.82 / $2,747.00 / $7,920.26	Facility		$812.82	$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 $784.62 / $997.67 / $1,422.19	Professional		$784.62	$997.67	$1,422.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $480.04 / $828.63 / $1,256.35	Facility		$480.04	$828.63	$1,256.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $639.98 / $1,047.88 / $1,161.78	Facility		$639.98	$1,047.88	$1,161.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $513.32 / $846.94 / $1,496.70	Facility		$513.32	$846.94	$1,496.70
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 $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00