Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $759.32 / $1,060.32 / $8,728.00	Facility		$759.32	$1,060.32	$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 $718.90 / $901.32 / $1,075.95	Professional		$718.90	$901.32	$1,075.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $450.49 / $748.92 / $1,141.56	Facility		$450.49	$748.92	$1,141.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $553.96 / $860.67 / $903.83	Facility		$553.96	$860.67	$903.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $456.14 / $832.05 / $1,281.96	Facility		$456.14	$832.05	$1,281.96
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