Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $859.20 / $4,962.67 / $15,341.00	Facility		$859.20	$4,962.67	$15,341.00
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 $761.42 / $892.05 / $1,070.21	Professional		$761.42	$892.05	$1,070.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $538.71 / $738.03 / $1,082.95	Facility		$538.71	$738.03	$1,082.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $551.36 / $753.30 / $804.00	Facility		$551.36	$753.30	$804.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $538.71 / $807.91 / $2,919.00	Facility		$538.71	$807.91	$2,919.00
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