Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.39 / $2,747.00 / $13,320.00	Facility		$945.39	$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 $887.34 / $1,073.84 / $1,365.65	Professional		$887.34	$1,073.84	$1,365.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $600.32 / $902.76 / $1,351.35	Facility		$600.32	$902.76	$1,351.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $722.40 / $1,080.78 / $1,160.08	Facility		$722.40	$1,080.78	$1,160.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $604.84 / $946.29 / $1,661.45	Facility		$604.84	$946.29	$1,661.45
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