Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $2,747.00 / $7,920.26	Facility		$988.00	$2,747.00	$7,920.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $920.57 / $1,104.66 / $1,260.74	Professional		$920.57	$1,104.66	$1,260.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $511.32 / $854.64 / $1,193.40	Facility		$511.32	$854.64	$1,193.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $571.00 / $898.30 / $1,028.84	Facility		$571.00	$898.30	$1,028.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $856.22 / $1,342.12	Facility		$550.00	$856.22	$1,342.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $564.70 / $724.26 / $933.97	Facility		$564.70	$724.26	$933.97
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00