Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,288.25 / $7,943.28	Facility		$724.44	$1,288.25	$7,943.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,000.00 / $1,548.82	Professional		$691.83	$1,000.00	$1,548.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $741.31 / $1,202.26	Facility		$380.19	$741.31	$1,202.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,071.52 / $1,174.90	Facility		$741.31	$1,071.52	$1,174.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $707.95 / $1,202.26	Facility		$371.54	$707.95	$1,202.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $8,912.51 / $10,715.19	Facility		$6,606.93	$8,912.51	$10,715.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $9,549.93 / $12,882.50	Facility		$1,995.26	$9,549.93	$12,882.50