Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,698.24 / $19,054.61	Facility		$977.24	$1,698.24	$19,054.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,202.26 / $1,698.24	Professional		$891.25	$1,202.26	$1,698.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $912.01 / $1,584.89	Facility		$524.81	$912.01	$1,584.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,318.26 / $1,348.96	Facility		$933.25	$1,318.26	$1,348.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $912.01 / $1,445.44	Facility		$512.86	$912.01	$1,445.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $10,232.93 / $12,302.69	Facility		$7,762.47	$10,232.93	$12,302.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,000.00 / $14,125.38	Facility		$1,995.26	$10,000.00	$14,125.38