Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $815.19 / $5,116.62 / $15,341.00	Facility		$815.19	$5,116.62	$15,341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,310.00 / $2,310.00 / $5,022.74	Facility		$2,310.00	$2,310.00	$5,022.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $700.33 / $902.84 / $1,158.61	Professional		$700.33	$902.84	$1,158.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $473.75 / $747.51 / $1,197.86	Facility		$473.75	$747.51	$1,197.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $540.44 / $873.01 / $959.44	Facility		$540.44	$873.01	$959.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $485.71 / $807.49 / $1,283.81	Facility		$485.71	$807.49	$1,283.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,671.70 / $19,116.02 / $21,922.68	Facility		$13,671.70	$19,116.02	$21,922.68
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