Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $5,623.41 / $13,803.84	Facility		$912.01	$5,623.41	$13,803.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,318.26 / $1,584.89	Professional		$1,000.00	$1,318.26	$1,584.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,047.13 / $2,290.87	Facility		$645.65	$1,047.13	$2,290.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,258.93 / $1,318.26	Facility		$1,047.13	$1,258.93	$1,318.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,023.29 / $1,548.82	Facility		$660.69	$1,023.29	$1,548.82
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