Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $939.05 / $3,925.18 / $15,341.00	Facility		$939.05	$3,925.18	$15,341.00
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 $1,029.35 / $1,205.71 / $1,446.51	Professional		$1,029.35	$1,205.71	$1,446.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $661.60 / $968.40 / $1,319.20	Facility		$661.60	$968.40	$1,319.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $724.21 / $1,034.48 / $1,114.88	Facility		$724.21	$1,034.48	$1,114.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $707.85 / $1,076.88 / $2,919.00	Facility		$707.85	$1,076.88	$2,919.00
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