Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $985.35 / $4,684.68 / $8,728.00	Facility		$985.35	$4,684.68	$8,728.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $839.63 / $984.22 / $1,180.78	Professional		$839.63	$984.22	$1,180.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $621.28 / $838.73 / $1,194.95	Facility		$621.28	$838.73	$1,194.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $600.78 / $830.80 / $911.20	Facility		$600.78	$830.80	$911.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $621.28 / $865.92 / $1,148.14	Facility		$621.28	$865.92	$1,148.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,434.23 / $9,638.43 / $12,117.15	Facility		$5,434.23	$9,638.43	$12,117.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00