Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $919.52 / $2,747.00 / $13,320.00	Facility		$919.52	$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 $874.09 / $1,095.03 / $1,406.56	Professional		$874.09	$1,095.03	$1,406.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $466.34 / $845.34 / $1,308.29	Facility		$466.34	$845.34	$1,308.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $687.30 / $1,062.81 / $1,165.13	Facility		$687.30	$1,062.81	$1,165.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $474.58 / $876.08 / $1,618.87	Facility		$474.58	$876.08	$1,618.87
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