Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.64 / $2,747.00 / $7,920.26	Facility		$923.64	$2,747.00	$7,920.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $866.38 / $1,092.51 / $1,425.07	Professional		$866.38	$1,092.51	$1,425.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $577.23 / $873.89 / $1,312.74	Facility		$577.23	$873.89	$1,312.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $686.17 / $1,073.55 / $1,193.27	Facility		$686.17	$1,073.55	$1,193.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $577.23 / $892.62 / $1,600.36	Facility		$577.23	$892.62	$1,600.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,536.02 / $8,364.56 / $10,637.18	Facility		$6,536.02	$8,364.56	$10,637.18
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