Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $651.70 / $4,962.67 / $15,341.00	Facility		$651.70	$4,962.67	$15,341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,310.00 / $2,310.00 / $3,229.54	Facility		$2,310.00	$2,310.00	$3,229.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $531.83 / $698.34 / $851.94	Professional		$531.83	$698.34	$851.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $367.30 / $656.88 / $1,001.50	Facility		$367.30	$656.88	$1,001.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $495.39 / $647.86 / $691.44	Facility		$495.39	$647.86	$691.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $420.58 / $774.71 / $1,148.71	Facility		$420.58	$774.71	$1,148.71
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