Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.20 / $4,962.67 / $15,341.00	Facility		$257.20	$4,962.67	$15,341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.79 / $1,487.79 / $1,937.44	Facility		$1,487.79	$1,487.79	$1,937.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $221.81 / $325.89 / $2,155.89	Professional		$221.81	$325.89	$2,155.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $177.52 / $306.00 / $2,639.40	Facility		$177.52	$306.00	$2,639.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $221.39 / $1,686.63 / $2,036.80	Facility		$221.39	$1,686.63	$2,036.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $177.52 / $381.67 / $2,850.05	Facility		$177.52	$381.67	$2,850.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,389.68 / $5,951.19 / $7,123.24	Facility		$4,389.68	$5,951.19	$7,123.24
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