Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $555.65 / $2,747.00 / $7,920.26	Facility		$555.65	$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 $587.90 / $762.91 / $1,259.24	Professional		$587.90	$762.91	$1,259.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $350.40 / $630.33 / $1,029.84	Facility		$350.40	$630.33	$1,029.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $424.80 / $834.83 / $1,023.09	Facility		$424.80	$834.83	$1,023.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $350.40 / $679.68 / $1,190.32	Facility		$350.40	$679.68	$1,190.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $10,171.54 / $12,117.15	Facility		$7,715.78	$10,171.54	$12,117.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,529.00 / $12,786.00	Facility		$1,981.00	$9,529.00	$12,786.00