Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $834.73 / $1,046.70 / $7,920.26	Facility		$834.73	$1,046.70	$7,920.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $1,664.70	Facility		$1,664.70	$1,664.70	$1,664.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $679.13 / $891.76 / $1,106.63	Professional		$679.13	$891.76	$1,106.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $443.54 / $765.57 / $1,189.40	Facility		$443.54	$765.57	$1,189.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $567.00 / $798.64 / $852.24	Facility		$567.00	$798.64	$852.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $466.48 / $875.16 / $1,189.40	Facility		$466.48	$875.16	$1,189.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,189.80 / $2,189.80 / $2,189.80	Facility		$2,189.80	$2,189.80	$2,189.80
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