Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $393.49 / $4,962.67 / $15,341.00	Facility		$393.49	$4,962.67	$15,341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,375.60 / $4,375.60 / $4,753.46	Facility		$4,375.60	$4,375.60	$4,753.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $366.37 / $538.28 / $1,704.67	Professional		$366.37	$538.28	$1,704.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $282.60 / $649.88 / $1,800.30	Facility		$282.60	$649.88	$1,800.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $394.11 / $1,279.03 / $1,417.72	Facility		$394.11	$1,279.03	$1,417.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $293.94 / $782.99 / $1,840.62	Facility		$293.94	$782.99	$1,840.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,453.20 / $11,142.10 / $14,336.76	Facility		$8,453.20	$11,142.10	$14,336.76
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