Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $852.24 / $2,747.00 / $7,920.26	Facility		$852.24	$2,747.00	$7,920.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $817.57 / $964.57 / $1,157.21	Professional		$817.57	$964.57	$1,157.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $559.16 / $756.72 / $1,020.85	Facility		$559.16	$756.72	$1,020.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $576.55 / $797.30 / $877.70	Facility		$576.55	$797.30	$877.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $578.13 / $851.91 / $2,919.00	Facility		$578.13	$851.91	$2,919.00
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 $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00