Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $711.65 / $2,747.00 / $13,320.00	Facility		$711.65	$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 $672.21 / $842.38 / $1,152.71	Professional		$672.21	$842.38	$1,152.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $454.45 / $711.07 / $1,141.97	Facility		$454.45	$711.07	$1,141.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $572.04 / $877.61 / $967.64	Facility		$572.04	$877.61	$967.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $454.45 / $746.68 / $1,387.47	Facility		$454.45	$746.68	$1,387.47
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