Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $974.09 / $4,684.68 / $8,728.00	Facility		$974.09	$4,684.68	$8,728.00
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 $814.30 / $965.00 / $1,157.73	Professional		$814.30	$965.00	$1,157.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $557.16 / $788.64 / $1,019.15	Facility		$557.16	$788.64	$1,019.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $571.83 / $794.62 / $895.12	Facility		$571.83	$794.62	$895.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $557.16 / $830.86 / $1,129.26	Facility		$557.16	$830.86	$1,129.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,820.30 / $4,901.89 / $6,016.60	Facility		$3,820.30	$4,901.89	$6,016.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00