Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $772.86 / $2,747.00 / $7,920.26	Facility		$772.86	$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 $716.27 / $904.41 / $1,283.74	Professional		$716.27	$904.41	$1,283.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $502.08 / $818.15 / $1,435.25	Facility		$502.08	$818.15	$1,435.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $713.15 / $1,024.49 / $1,222.75	Facility		$713.15	$1,024.49	$1,222.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $502.08 / $842.69 / $1,741.05	Facility		$502.08	$842.69	$1,741.05
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 $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00