Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $863.23 / $1,491.25 / $18,977.96	Facility		$863.23	$1,491.25	$18,977.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $1,643.00	Facility		$1,643.00	$1,643.00	$1,643.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,042.20 / $1,273.94 / $1,629.91	Professional		$1,042.20	$1,273.94	$1,629.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $633.96 / $981.30 / $1,534.01	Facility		$633.96	$981.30	$1,534.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $815.10 / $1,240.00 / $1,350.05	Facility		$815.10	$1,240.00	$1,350.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $640.54 / $1,019.52 / $1,866.94	Facility		$640.54	$1,019.52	$1,866.94
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