Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $875.35 / $7,138.68 / $13,746.00	Facility		$875.35	$7,138.68	$13,746.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,040.00 / $1,040.00 / $1,040.00	Facility		$1,040.00	$1,040.00	$1,040.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $752.85 / $884.67 / $1,061.34	Professional		$752.85	$884.67	$1,061.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $526.32 / $709.92 / $941.80	Facility		$526.32	$709.92	$941.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $536.34 / $741.69 / $806.68	Facility		$536.34	$741.69	$806.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $788.40 / $5,949.00	Facility		$540.00	$788.40	$5,949.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,820.30 / $4,901.89 / $6,365.28	Facility		$3,820.30	$4,901.89	$6,365.28
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