Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $774.59 / $7,920.26 / $30,593.00	Facility		$774.59	$7,920.26	$30,593.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $5,022.74	Facility		$1,664.70	$1,664.70	$5,022.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $664.02 / $858.84 / $1,102.97	Professional		$664.02	$858.84	$1,102.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $462.38 / $715.40 / $1,139.69	Facility		$462.38	$715.40	$1,139.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $551.99 / $833.30 / $911.20	Facility		$551.99	$833.30	$911.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $462.38 / $766.54 / $1,227.34	Facility		$462.38	$766.54	$1,227.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,493.64 / $18,246.18 / $21,922.68	Facility		$13,493.64	$18,246.18	$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