Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,148.15 / $7,943.28	Facility		$489.78	$1,148.15	$7,943.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $758.58 / $1,380.38	Professional		$549.54	$758.58	$1,380.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $549.54 / $1,047.13	Facility		$288.40	$549.54	$1,047.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $870.96 / $1,023.29	Facility		$602.56	$870.96	$1,023.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $537.03 / $1,000.00	Facility		$275.42	$537.03	$1,000.00
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