Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $859.48 / $4,962.67 / $15,341.00	Facility		$859.48	$4,962.67	$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 $738.64 / $868.59 / $1,042.06	Professional		$738.64	$868.59	$1,042.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $545.42 / $707.76 / $930.75	Facility		$545.42	$707.76	$930.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $528.59 / $728.72 / $790.60	Facility		$528.59	$728.72	$790.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $545.42 / $772.98 / $2,919.00	Facility		$545.42	$772.98	$2,919.00
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