Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.03 / $7,920.26 / $20,400.00	Facility		$882.03	$7,920.26	$20,400.00
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 $740.35 / $869.47 / $1,040.36	Professional		$740.35	$869.47	$1,040.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $533.75 / $756.24 / $1,006.83	Facility		$533.75	$756.24	$1,006.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $568.79 / $782.46 / $817.36	Facility		$568.79	$782.46	$817.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $561.84 / $831.07 / $5,217.00	Facility		$561.84	$831.07	$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