Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $5,495.41 / $15,848.93	Facility		$912.01	$5,495.41	$15,848.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility		$1,174.90	$1,174.90	$1,174.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $933.25 / $1,122.02	Professional		$707.95	$933.25	$1,122.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $707.95 / $1,380.38	Facility		$446.68	$707.95	$1,380.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $870.96 / $933.25	Facility		$676.08	$870.96	$933.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $691.83 / $1,047.13	Facility		$457.09	$691.83	$1,047.13
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