Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $820.02 / $2,747.00 / $7,920.26	Facility		$820.02	$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 $762.58 / $961.53 / $1,303.86	Professional		$762.58	$961.53	$1,303.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $518.50 / $801.54 / $1,224.38	Facility		$518.50	$801.54	$1,224.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $623.10 / $984.46 / $1,091.43	Facility		$623.10	$984.46	$1,091.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $518.50 / $801.90 / $1,455.97	Facility		$518.50	$801.90	$1,455.97
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