Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $848.42 / $6,320.00 / $13,746.00	Facility		$848.42	$6,320.00	$13,746.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,040.00 / $1,040.00 / $1,040.00	Facility		$1,040.00	$1,040.00	$1,040.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $924.92 / $1,088.33 / $1,305.69	Professional		$924.92	$1,088.33	$1,305.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $637.39 / $871.20 / $1,162.80	Facility		$637.39	$871.20	$1,162.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $658.92 / $911.20 / $994.28	Facility		$658.92	$911.20	$994.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $657.82 / $970.90 / $5,949.00	Facility		$657.82	$970.90	$5,949.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $157.47 / $157.47 / $157.47	Facility	AS	$157.47	$157.47	$157.47
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 $1,981.00 / $9,074.00 / $12,113.00	Facility		$1,981.00	$9,074.00	$12,113.00