Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $581.49 / $1,258.02 / $13,746.00	Facility		$581.49	$1,258.02	$13,746.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,040.00 / $1,040.00 / $1,040.00	Facility		$1,040.00	$1,040.00	$1,040.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $711.09 / $896.07 / $1,240.32	Professional		$711.09	$896.07	$1,240.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $472.76 / $747.16 / $1,150.13	Facility		$472.76	$747.16	$1,150.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $590.94 / $936.81 / $1,015.72	Facility		$590.94	$936.81	$1,015.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $472.76 / $750.97 / $1,395.80	Facility		$472.76	$750.97	$1,395.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $21,418.17 / $26,781.36	Facility		$16,860.72	$21,418.17	$26,781.36
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