Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,288.25 / $13,182.57	Facility		$977.24	$1,288.25	$13,182.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,023.29 / $1,202.26	Professional		$758.58	$1,023.29	$1,202.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $776.25 / $1,230.27	Facility		$489.78	$776.25	$1,230.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $933.25 / $1,000.00	Facility		$794.33	$933.25	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $776.25 / $1,174.90	Facility		$501.19	$776.25	$1,174.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $10,232.93 / $12,302.69	Facility		$7,762.47	$10,232.93	$12,302.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $12,882.50 / $26,302.68	Facility		$2,137.96	$12,882.50	$26,302.68