Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $973.80 / $3,319.65 / $13,320.00	Facility		$973.80	$3,319.65	$13,320.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,211.00 / $2,211.00 / $2,211.00	Facility		$2,211.00	$2,211.00	$2,211.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $934.47 / $1,178.94 / $1,634.68	Professional		$934.47	$1,178.94	$1,634.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $585.54 / $962.34 / $1,438.56	Facility		$585.54	$962.34	$1,438.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $730.95 / $1,155.42 / $1,341.34	Facility		$730.95	$1,155.42	$1,341.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $595.76 / $962.34 / $1,699.90	Facility		$595.76	$962.34	$1,699.90
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