Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,348.96 / $7,943.28	Facility		$812.83	$1,348.96	$7,943.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,023.29 / $1,513.56	Professional		$741.31	$1,023.29	$1,513.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $776.25 / $1,288.25	Facility		$446.68	$776.25	$1,288.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,122.02 / $1,202.26	Facility		$776.25	$1,122.02	$1,202.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $776.25 / $1,202.26	Facility		$467.74	$776.25	$1,202.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $8,912.51 / $10,715.19	Facility		$6,606.93	$8,912.51	$10,715.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $9,549.93 / $12,882.50	Facility		$1,995.26	$9,549.93	$12,882.50