Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $987.37 / $2,747.00 / $7,920.26	Facility		$987.37	$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 $936.85 / $1,097.35 / $1,316.51	Professional		$936.85	$1,097.35	$1,316.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $658.15 / $935.64 / $1,192.55	Facility		$658.15	$935.64	$1,192.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $681.69 / $939.17 / $1,008.35	Facility		$681.69	$939.17	$1,008.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $695.14 / $990.21 / $2,919.00	Facility		$695.14	$990.21	$2,919.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $159.22 / $159.22 / $159.22	Facility	AS	$159.22	$159.22	$159.22
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