Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $711.29 / $1,308.91 / $7,920.26	Facility		$711.29	$1,308.91	$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 $752.94 / $947.95 / $1,291.39	Professional		$752.94	$947.95	$1,291.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $500.59 / $772.60 / $1,173.15	Facility		$500.59	$772.60	$1,173.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $613.45 / $977.20 / $1,057.26	Facility		$613.45	$977.20	$1,057.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $501.25 / $772.60 / $1,418.94	Facility		$501.25	$772.60	$1,418.94
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $169.27 / $169.27 / $169.27	Facility	AS	$169.27	$169.27	$169.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $9,638.43 / $12,117.15	Facility		$7,715.78	$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