Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $953.42 / $2,747.00 / $13,746.00	Facility		$953.42	$2,747.00	$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 $1,228.71 / $1,439.21 / $1,726.64	Professional		$1,228.71	$1,439.21	$1,726.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $876.09 / $1,194.74 / $1,603.95	Facility		$876.09	$1,194.74	$1,603.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $916.67 / $1,256.25 / $1,329.95	Facility		$916.67	$1,256.25	$1,329.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $881.18 / $1,313.96 / $5,949.00	Facility		$881.18	$1,313.96	$5,949.00
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 $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00