Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $904.22 / $2,747.00 / $13,320.00	Facility		$904.22	$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 $851.98 / $1,070.32 / $1,373.91	Professional		$851.98	$1,070.32	$1,373.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $502.26 / $835.17 / $1,286.01	Facility		$502.26	$835.17	$1,286.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $667.43 / $1,039.96 / $1,150.39	Facility		$667.43	$1,039.96	$1,150.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $510.46 / $876.93 / $1,584.63	Facility		$510.46	$876.93	$1,584.63
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 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00