Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $861.76 / $5,116.62 / $20,400.00	Facility		$861.76	$5,116.62	$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 $945.11 / $1,108.58 / $1,329.99	Professional		$945.11	$1,108.58	$1,329.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $665.59 / $910.80 / $1,188.30	Facility		$665.59	$910.80	$1,188.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $675.88 / $933.46 / $1,014.38	Facility		$675.88	$933.46	$1,014.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $700.62 / $988.91 / $5,217.00	Facility		$700.62	$988.91	$5,217.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $160.32 / $160.32 / $160.32	Facility	AS	$160.32	$160.32	$160.32
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 $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00