Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $7,943.28 / $18,620.87	Facility		$977.24	$7,943.28	$18,620.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
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 / $776.25 / $6,309.57	Facility		$489.78	$776.25	$6,309.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $912.01 / $1,000.00	Facility		$676.08	$912.01	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $758.58 / $1,071.52	Facility		$489.78	$758.58	$1,071.52
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 $1,995.26 / $10,000.00 / $14,125.38	Facility		$1,995.26	$10,000.00	$14,125.38