Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $359.50 / $4,962.67 / $15,341.00	Facility		$359.50	$4,962.67	$15,341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.79 / $1,487.79 / $2,310.00	Facility		$1,487.79	$1,487.79	$2,310.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $307.99 / $452.52 / $1,434.81	Professional		$307.99	$452.52	$1,434.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $248.38 / $449.47 / $1,535.50	Facility		$248.38	$449.47	$1,535.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $324.95 / $1,015.74 / $1,193.94	Facility		$324.95	$1,015.74	$1,193.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $248.38 / $534.02 / $2,043.94	Facility		$248.38	$534.02	$2,043.94
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