Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $649.20 / $2,747.00 / $7,920.26	Facility		$649.20	$2,747.00	$7,920.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $623.91 / $788.95 / $1,136.80	Professional		$623.91	$788.95	$1,136.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $399.81 / $655.41 / $1,099.75	Facility		$399.81	$655.41	$1,099.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $515.60 / $837.50 / $934.65	Facility		$515.60	$837.50	$934.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $399.81 / $674.93 / $1,303.24	Facility		$399.81	$674.93	$1,303.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,364.17 / $9,638.43 / $12,117.15	Facility		$6,364.17	$9,638.43	$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