Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.04 / $2,747.00 / $7,920.26	Facility		$933.04	$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 $894.15 / $1,132.58 / $1,548.71	Professional		$894.15	$1,132.58	$1,548.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $561.05 / $914.79 / $1,401.10	Facility		$561.05	$914.79	$1,401.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $697.88 / $1,158.38 / $1,271.66	Facility		$697.88	$1,158.38	$1,271.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $590.59 / $919.06 / $1,696.62	Facility		$590.59	$919.06	$1,696.62
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