Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,230.27 / $7,943.28	Facility		$741.31	$1,230.27	$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 $676.08 / $954.99 / $1,380.38	Professional		$676.08	$954.99	$1,380.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $707.95 / $1,174.90	Facility		$416.87	$707.95	$1,174.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,047.13 / $1,096.48	Facility		$724.44	$1,047.13	$1,096.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $707.95 / $1,148.15	Facility		$426.58	$707.95	$1,148.15
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 $1,995.26 / $10,000.00 / $14,125.38	Facility		$1,995.26	$10,000.00	$14,125.38