Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $942.23 / $5,649.00 / $15,341.00	Facility		$942.23	$5,649.00	$15,341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,310.00 / $2,310.00 / $4,655.87	Facility		$2,310.00	$2,310.00	$4,655.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $679.29 / $891.96 / $1,087.52	Professional		$679.29	$891.96	$1,087.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $502.66 / $879.05 / $1,402.36	Facility		$502.66	$879.05	$1,402.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $617.74 / $827.49 / $987.81	Facility		$617.74	$827.49	$987.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $560.79 / $1,059.08 / $1,582.78	Facility		$560.79	$1,059.08	$1,582.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,353.16 / $17,908.06 / $21,335.22	Facility		$13,353.16	$17,908.06	$21,335.22
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