Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $940.42 / $7,920.26 / $20,400.00	Facility		$940.42	$7,920.26	$20,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,211.00 / $2,211.00 / $2,211.00	Facility		$2,211.00	$2,211.00	$2,211.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $793.91 / $929.92 / $1,115.64	Professional		$793.91	$929.92	$1,115.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $598.98 / $808.62 / $1,213.46	Facility		$598.98	$808.62	$1,213.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $585.28 / $802.66 / $852.24	Facility		$585.28	$802.66	$852.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $598.98 / $856.54 / $1,213.46	Facility		$598.98	$856.54	$1,213.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,364.17 / $9,638.43 / $12,117.15	Facility		$6,364.17	$9,638.43	$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