Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $875.28 / $5,116.62 / $19,169.22	Facility		$875.28	$5,116.62	$19,169.22
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 $837.75 / $982.64 / $1,178.88	Professional		$837.75	$982.64	$1,178.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $621.15 / $922.53 / $1,315.28	Facility		$621.15	$922.53	$1,315.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $605.14 / $836.83 / $897.80	Facility		$605.14	$836.83	$897.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $621.15 / $984.45 / $5,217.00	Facility		$621.15	$984.45	$5,217.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $9,638.43 / $12,117.15	Facility		$7,715.78	$9,638.43	$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