Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $958.49 / $1,758.00 / $13,320.00	Facility		$958.49	$1,758.00	$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 $910.32 / $1,139.91 / $1,465.22	Professional		$910.32	$1,139.91	$1,465.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $606.71 / $912.41 / $1,333.53	Facility		$606.71	$912.41	$1,333.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $716.40 / $1,121.01 / $1,200.64	Facility		$716.40	$1,121.01	$1,200.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $606.71 / $934.07 / $1,610.54	Facility		$606.71	$934.07	$1,610.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $26,781.36	Facility		$16,860.72	$22,602.85	$26,781.36
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