Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,047.13 / $6,606.93	Facility		$707.95	$1,047.13	$6,606.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Facility		$1,949.84	$1,949.84	$1,949.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $812.83 / $1,148.15	Professional		$616.60	$812.83	$1,148.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $562.34 / $1,000.00	Facility		$363.08	$562.34	$1,000.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $851.14 / $933.25	Facility		$616.60	$851.14	$933.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $562.34 / $977.24	Facility		$346.74	$562.34	$977.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $18,620.87 / $22,387.21	Facility		$13,489.63	$18,620.87	$22,387.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $9,549.93 / $22,387.21	Facility		$1,621.81	$9,549.93	$22,387.21