Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $938.21 / $4,962.67 / $15,341.00	Facility		$938.21	$4,962.67	$15,341.00
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 $791.38 / $926.96 / $1,112.08	Professional		$791.38	$926.96	$1,112.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $597.99 / $777.60 / $1,042.54	Facility		$597.99	$777.60	$1,042.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $570.74 / $789.26 / $865.64	Facility		$570.74	$789.26	$865.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $597.99 / $855.13 / $2,402.00	Facility		$597.99	$855.13	$2,402.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $136.94 / $136.94 / $136.94	Facility	AS	$136.94	$136.94	$136.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $26,781.36	Facility		$16,860.72	$22,602.85	$26,781.36
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