Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $904.97 / $4,962.67 / $15,341.00	Facility		$904.97	$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 $774.61 / $910.51 / $1,092.34	Professional		$774.61	$910.51	$1,092.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $542.28 / $740.88 / $989.40	Facility		$542.28	$740.88	$989.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $555.72 / $768.49 / $830.80	Facility		$555.72	$768.49	$830.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $551.41 / $813.01 / $2,919.00	Facility		$551.41	$813.01	$2,919.00
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 $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00