Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $855.61 / $7,920.26 / $20,400.00	Facility		$855.61	$7,920.26	$20,400.00
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 $732.73 / $861.57 / $1,029.68	Professional		$732.73	$861.57	$1,029.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $545.73 / $747.65 / $1,024.64	Facility		$545.73	$747.65	$1,024.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $525.67 / $726.95 / $788.59	Facility		$525.67	$726.95	$788.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $545.73 / $804.89 / $5,949.00	Facility		$545.73	$804.89	$5,949.00
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 / $12,113.00	Facility		$1,981.00	$9,074.00	$12,113.00