Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $982.33 / $7,920.26 / $20,400.00	Facility		$982.33	$7,920.26	$20,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,184.00 / $1,184.00 / $1,184.00	Facility		$1,184.00	$1,184.00	$1,184.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $847.23 / $994.45 / $1,193.06	Professional		$847.23	$994.45	$1,193.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $531.80 / $747.86 / $1,026.80	Facility		$531.80	$747.86	$1,026.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $576.73 / $810.03 / $901.82	Facility		$576.73	$810.03	$901.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $564.82 / $840.97 / $7,090.00	Facility		$564.82	$840.97	$7,090.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $10,171.54 / $12,117.15	Facility		$7,715.78	$10,171.54	$12,117.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00