Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,288.25 / $7,943.28	Facility		$977.24	$1,288.25	$7,943.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,000.00 / $1,202.26	Professional		$758.58	$1,000.00	$1,202.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $758.58 / $1,230.27	Facility		$489.78	$758.58	$1,230.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $954.99 / $1,000.00	Facility		$776.25	$954.99	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $758.58 / $1,122.02	Facility		$501.19	$758.58	$1,122.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $10,232.93 / $12,302.69	Facility		$7,762.47	$10,232.93	$12,302.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,754.40 / $14,125.38	Facility		$1,698.24	$5,754.40	$14,125.38