Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $715.37 / $1,315.83 / $13,746.00	Facility		$715.37	$1,315.83	$13,746.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,040.00 / $1,040.00 / $1,040.00	Facility		$1,040.00	$1,040.00	$1,040.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $764.80 / $963.81 / $1,304.28	Professional		$764.80	$963.81	$1,304.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $504.36 / $773.17 / $1,190.23	Facility		$504.36	$773.17	$1,190.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $636.94 / $985.85 / $1,063.29	Facility		$636.94	$985.85	$1,063.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $504.36 / $784.35 / $1,450.42	Facility		$504.36	$784.35	$1,450.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,846.16 / $6,142.31 / $7,227.91	Facility		$4,846.16	$6,142.31	$7,227.91
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