Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $764.46 / $2,747.00 / $13,320.00	Facility		$764.46	$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 $731.04 / $919.28 / $1,247.19	Professional		$731.04	$919.28	$1,247.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $497.54 / $768.07 / $1,205.82	Facility		$497.54	$768.07	$1,205.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $613.45 / $945.72 / $1,044.48	Facility		$613.45	$945.72	$1,044.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $498.24 / $768.07 / $1,464.30	Facility		$498.24	$768.07	$1,464.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,914.95 / $21,418.17 / $26,781.36	Facility		$8,914.95	$21,418.17	$26,781.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,529.00 / $12,113.00	Facility		$1,981.00	$9,529.00	$12,113.00