Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $902.55 / $7,074.00 / $20,400.00	Facility		$902.55	$7,074.00	$20,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,211.00 / $2,211.00 / $2,211.00	Facility		$2,211.00	$2,211.00	$2,211.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $762.98 / $893.82 / $1,072.18	Professional		$762.98	$893.82	$1,072.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $575.79 / $792.66 / $1,144.04	Facility		$575.79	$792.66	$1,144.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $576.07 / $796.63 / $835.04	Facility		$576.07	$796.63	$835.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $575.79 / $854.35 / $1,144.04	Facility		$575.79	$854.35	$1,144.04
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