Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $951.56 / $3,213.00 / $8,728.00	Facility		$951.56	$3,213.00	$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 $1,242.64 / $1,473.86 / $1,768.21	Professional		$1,242.64	$1,473.86	$1,768.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $832.94 / $1,204.04 / $1,502.80	Facility		$832.94	$1,204.04	$1,502.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $845.94 / $1,169.82 / $1,342.01	Facility		$845.94	$1,169.82	$1,342.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $854.93 / $1,281.72 / $2,450.00	Facility		$854.93	$1,281.72	$2,450.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $9,638.43 / $12,117.15	Facility		$7,715.78	$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