Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $937.75 / $4,684.68 / $8,728.00	Facility		$937.75	$4,684.68	$8,728.00
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 $798.97 / $937.84 / $1,125.14	Professional		$798.97	$937.84	$1,125.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $562.49 / $768.24 / $1,030.20	Facility		$562.49	$768.24	$1,030.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $585.28 / $797.97 / $860.28	Facility		$585.28	$797.97	$860.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $570.95 / $848.22 / $2,450.00	Facility		$570.95	$848.22	$2,450.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,364.17 / $9,638.43 / $12,117.15	Facility		$6,364.17	$9,638.43	$12,117.15
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