Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $970.11 / $7,920.26 / $20,400.00	Facility		$970.11	$7,920.26	$20,400.00
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 $832.43 / $976.56 / $1,171.58	Professional		$832.43	$976.56	$1,171.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $584.66 / $803.52 / $1,054.00	Facility		$584.66	$803.52	$1,054.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $599.80 / $822.01 / $891.77	Facility		$599.80	$822.01	$891.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $615.42 / $880.06 / $5,949.00	Facility		$615.42	$880.06	$5,949.00
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