Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $817.71 / $2,747.00 / $13,320.00	Facility		$817.71	$2,747.00	$13,320.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $862.39 / $1,080.02 / $1,422.95	Professional		$862.39	$1,080.02	$1,422.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $573.40 / $866.61 / $1,315.71	Facility		$573.40	$866.61	$1,315.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $689.88 / $1,087.01 / $1,162.11	Facility		$689.88	$1,087.01	$1,162.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $573.40 / $889.01 / $1,602.21	Facility		$573.40	$889.01	$1,602.21
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