Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,925.18 / $14,940.47	Facility		$954.00	$3,925.18	$14,940.47
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 $921.24 / $1,079.07 / $1,294.57	Professional		$921.24	$1,079.07	$1,294.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $673.54 / $897.69 / $1,320.83	Facility		$673.54	$897.69	$1,320.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $663.77 / $915.22 / $990.93	Facility		$663.77	$915.22	$990.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $673.54 / $963.16 / $2,402.00	Facility		$673.54	$963.16	$2,402.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $21,418.17 / $26,781.36	Facility		$16,860.72	$21,418.17	$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