Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $791.20 / $1,346.07 / $13,320.00	Facility		$791.20	$1,346.07	$13,320.00
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 $759.79 / $959.63 / $1,328.51	Professional		$759.79	$959.63	$1,328.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $511.04 / $806.27 / $1,262.99	Facility		$511.04	$806.27	$1,262.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $642.79 / $999.60 / $1,100.24	Facility		$642.79	$999.60	$1,100.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $511.04 / $842.00 / $1,558.71	Facility		$511.04	$842.00	$1,558.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $9,638.43 / $12,117.15	Facility		$7,715.78	$9,638.43	$12,117.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,529.00 / $12,786.00	Facility		$1,981.00	$9,529.00	$12,786.00