Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $949.63 / $7,074.00 / $20,400.00	Facility		$949.63	$7,074.00	$20,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $897.00 / $1,050.68 / $1,260.51	Professional		$897.00	$1,050.68	$1,260.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $635.92 / $869.86 / $1,150.05	Facility		$635.92	$869.86	$1,150.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $650.20 / $899.14 / $973.51	Facility		$650.20	$899.14	$973.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $663.17 / $955.76 / $5,217.00	Facility		$663.17	$955.76	$5,217.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $10,171.54 / $12,117.15	Facility		$7,715.78	$10,171.54	$12,117.15
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