Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $849.19 / $1,176.36 / $7,920.26	Facility		$849.19	$1,176.36	$7,920.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $839.82 / $1,007.99 / $1,160.08	Professional		$839.82	$1,007.99	$1,160.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $486.32 / $781.20 / $1,108.40	Facility		$486.32	$781.20	$1,108.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $575.41 / $852.16 / $960.11	Facility		$575.41	$852.16	$960.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $545.63 / $791.11 / $1,250.49	Facility		$545.63	$791.11	$1,250.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,820.30 / $4,901.89 / $6,016.60	Facility		$3,820.30	$4,901.89	$6,016.60
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00