Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $748.43 / $2,747.00 / $13,320.00	Facility		$748.43	$2,747.00	$13,320.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $720.16 / $847.30 / $1,016.51	Professional		$720.16	$847.30	$1,016.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $493.77 / $696.71 / $1,015.38	Facility		$493.77	$696.71	$1,015.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $515.51 / $709.61 / $773.85	Facility		$515.51	$709.61	$773.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $504.78 / $750.20 / $5,217.00	Facility		$504.78	$750.20	$5,217.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $10,171.54 / $12,117.15	Facility		$7,715.78	$10,171.54	$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