Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $989.94 / $7,920.26 / $20,400.00	Facility		$989.94	$7,920.26	$20,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,040.00 / $1,040.00 / $1,040.00	Facility		$1,040.00	$1,040.00	$1,040.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $852.36 / $998.39 / $1,197.79	Professional		$852.36	$998.39	$1,197.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $639.04 / $830.07 / $1,111.80	Facility		$639.04	$830.07	$1,111.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $632.27 / $864.30 / $913.88	Facility		$632.27	$864.30	$913.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $639.04 / $919.82 / $5,949.00	Facility		$639.04	$919.82	$5,949.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $146.12 / $146.12 / $146.12	Facility	AS	$146.12	$146.12	$146.12
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 $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00