Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $975.35 / $7,920.26 / $20,400.00	Facility		$975.35	$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 $820.90 / $961.54 / $1,153.57	Professional		$820.90	$961.54	$1,153.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $588.82 / $798.56 / $1,079.50	Facility		$588.82	$798.56	$1,079.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $622.10 / $846.88 / $898.47	Facility		$622.10	$846.88	$898.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $620.36 / $881.31 / $5,217.00	Facility		$620.36	$881.31	$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