Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $889.98 / $8,369.76 / $19,920.41	Facility		$889.98	$8,369.76	$19,920.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,375.60 / $4,375.60 / $6,120.50	Facility		$4,375.60	$4,375.60	$6,120.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $726.28 / $953.68 / $1,162.68	Professional		$726.28	$953.68	$1,162.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $469.85 / $747.50 / $1,497.26	Facility		$469.85	$747.50	$1,497.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $652.38 / $884.74 / $920.04	Facility		$652.38	$884.74	$920.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $497.47 / $995.85 / $1,497.26	Facility		$497.47	$995.85	$1,497.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,475.25 / $17,909.58 / $21,335.22	Facility		$13,475.25	$17,909.58	$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