Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $944.20 / $5,649.00 / $15,341.00	Facility		$944.20	$5,649.00	$15,341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,310.00 / $2,310.00 / $2,400.80	Facility		$2,310.00	$2,310.00	$2,400.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $701.54 / $921.19 / $1,139.94	Professional		$701.54	$921.19	$1,139.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $456.05 / $790.83 / $1,207.91	Facility		$456.05	$790.83	$1,207.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $605.14 / $820.75 / $879.71	Facility		$605.14	$820.75	$879.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $499.79 / $917.31 / $1,512.79	Facility		$499.79	$917.31	$1,512.79
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 $1,533.00 / $8,090.00 / $12,786.00	Facility		$1,533.00	$8,090.00	$12,786.00