Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $722.79 / $7,650.64 / $13,320.00	Facility		$722.79	$7,650.64	$13,320.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,211.00 / $2,211.00 / $2,211.00	Facility		$2,211.00	$2,211.00	$2,211.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $792.34 / $928.08 / $1,113.43	Professional		$792.34	$928.08	$1,113.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $587.64 / $822.01 / $1,147.74	Facility		$587.64	$822.01	$1,147.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $580.42 / $791.94 / $851.57	Facility		$580.42	$791.94	$851.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $587.64 / $862.87 / $1,147.74	Facility		$587.64	$862.87	$1,147.74
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $134.87 / $134.87 / $134.87	Facility	AS	$134.87	$134.87	$134.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,868.81 / $5,124.10 / $6,421.06	Facility		$3,868.81	$5,124.10	$6,421.06
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $8,090.00 / $12,786.00	Facility		$1,981.00	$8,090.00	$12,786.00