Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $929.47 / $1,486.00 / $7,920.26	Facility		$929.47	$1,486.00	$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 $884.01 / $1,115.80 / $1,503.48	Professional		$884.01	$1,115.80	$1,503.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $591.11 / $900.58 / $1,386.25	Facility		$591.11	$900.58	$1,386.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $708.32 / $1,133.80 / $1,232.80	Facility		$708.32	$1,133.80	$1,232.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $591.11 / $925.17 / $1,642.94	Facility		$591.11	$925.17	$1,642.94
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $199.20 / $199.20 / $199.20	Facility	AS	$199.20	$199.20	$199.20
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