Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $916.59 / $7,920.26 / $20,400.00	Facility		$916.59	$7,920.26	$20,400.00
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 $783.75 / $920.68 / $1,104.55	Professional		$783.75	$920.68	$1,104.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $542.55 / $743.04 / $987.70	Facility		$542.55	$743.04	$987.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $562.50 / $773.79 / $841.52	Facility		$562.50	$773.79	$841.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $558.45 / $818.43 / $5,217.00	Facility		$558.45	$818.43	$5,217.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,820.30 / $4,901.89 / $6,365.28	Facility		$3,820.30	$4,901.89	$6,365.28
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