Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $774.43 / $2,747.00 / $7,920.26	Facility		$774.43	$2,747.00	$7,920.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $720.00 / $904.02 / $1,213.58	Professional		$720.00	$904.02	$1,213.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $489.16 / $767.10 / $1,179.83	Facility		$489.16	$767.10	$1,179.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $603.60 / $923.13 / $1,027.48	Facility		$603.60	$923.13	$1,027.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $489.16 / $780.37 / $1,457.82	Facility		$489.16	$780.37	$1,457.82
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