Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $929.77 / $8,369.76 / $30,593.00	Facility		$929.77	$8,369.76	$30,593.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,375.60 / $4,375.60 / $12,267.92	Facility		$4,375.60	$4,375.60	$12,267.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $674.71 / $885.96 / $1,080.38	Professional		$674.71	$885.96	$1,080.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $441.38 / $694.42 / $1,377.38	Facility		$441.38	$694.42	$1,377.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $594.66 / $821.93 / $856.12	Facility		$594.66	$821.93	$856.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $463.45 / $916.12 / $1,377.38	Facility		$463.45	$916.12	$1,377.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23,621.76 / $31,052.21 / $38,534.69	Facility		$23,621.76	$31,052.21	$38,534.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,895.00 / $11,770.00 / $26,404.00	Facility		$1,895.00	$11,770.00	$26,404.00