Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,071.52 / $7,943.28	Facility		$794.33	$1,071.52	$7,943.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $851.14 / $1,000.00	Professional		$645.65	$851.14	$1,000.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $630.96 / $1,000.00	Facility		$407.38	$630.96	$1,000.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $776.25 / $831.76	Facility		$645.65	$776.25	$831.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $630.96 / $891.25	Facility		$407.38	$630.96	$891.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $10,232.93 / $12,302.69	Facility		$7,762.47	$10,232.93	$12,302.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $12,882.50 / $26,302.68	Facility		$2,137.96	$12,882.50	$26,302.68