Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $1,348.96 / $7,943.28	Facility		$331.13	$1,348.96	$7,943.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $2,290.87	Facility		$1,479.11	$1,479.11	$2,290.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $426.58 / $1,548.82	Professional		$281.84	$426.58	$1,548.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $436.52 / $1,258.93	Facility		$173.78	$436.52	$1,258.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $1,122.02 / $1,202.26	Facility		$371.54	$1,122.02	$1,202.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $398.11 / $1,202.26	Facility		$165.96	$398.11	$1,202.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $6,025.60 / $7,244.36	Facility		$4,365.16	$6,025.60	$7,244.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $5,495.41 / $7,413.10	Facility		$1,548.82	$5,495.41	$7,413.10