Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $696.67 / $7,920.26 / $25,772.40	Facility		$696.67	$7,920.26	$25,772.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.79 / $1,487.79 / $4,375.60	Facility		$1,487.79	$1,487.79	$4,375.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $591.41 / $776.58 / $947.19	Professional		$591.41	$776.58	$947.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $382.60 / $608.69 / $1,217.76	Facility		$382.60	$608.69	$1,217.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $536.83 / $720.45 / $765.14	Facility		$536.83	$720.45	$765.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $404.34 / $809.95 / $1,217.76	Facility		$404.34	$809.95	$1,217.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,123.24 / $9,822.48 / $12,564.30	Facility		$7,123.24	$9,822.48	$12,564.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,472.00 / $4,880.00 / $7,233.00	Facility		$1,472.00	$4,880.00	$7,233.00