Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $811.29 / $2,747.00 / $8,979.06	Facility		$811.29	$2,747.00	$8,979.06
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 $976.54 / $1,186.97 / $1,360.86	Professional		$976.54	$1,186.97	$1,360.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $642.00 / $937.51 / $1,327.70	Facility		$642.00	$937.51	$1,327.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $679.20 / $1,024.42 / $1,126.94	Facility		$679.20	$1,024.42	$1,126.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $651.01 / $951.40 / $1,493.07	Facility		$651.01	$951.40	$1,493.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,820.30 / $4,901.89 / $6,016.60	Facility		$3,820.30	$4,901.89	$6,016.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00