Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $963.23 / $7,920.26 / $20,400.00	Facility		$963.23	$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 $826.51 / $969.80 / $1,163.49	Professional		$826.51	$969.80	$1,163.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $581.14 / $810.06 / $1,042.95	Facility		$581.14	$810.06	$1,042.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $593.51 / $816.16 / $886.41	Facility		$593.51	$816.16	$886.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $611.73 / $874.77 / $5,949.00	Facility		$611.73	$874.77	$5,949.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $140.01 / $140.01 / $140.01	Facility	AS	$140.01	$140.01	$140.01
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