Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $767.89 / $4,283.46 / $8,728.00	Facility		$767.89	$4,283.46	$8,728.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,937.44 / $1,937.44 / $2,400.80	Facility		$1,937.44	$1,937.44	$2,400.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $659.01 / $885.24 / $1,140.23	Professional		$659.01	$885.24	$1,140.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $442.76 / $740.25 / $1,153.67	Facility		$442.76	$740.25	$1,153.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $520.99 / $858.29 / $935.99	Facility		$520.99	$858.29	$935.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $456.24 / $770.93 / $1,233.63	Facility		$456.24	$770.93	$1,233.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,382.73 / $9,721.75 / $12,052.68	Facility		$7,382.73	$9,721.75	$12,052.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,472.00 / $4,880.00 / $7,233.00	Facility		$1,472.00	$4,880.00	$7,233.00