Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $700.62 / $7,920.26 / $30,593.00	Facility		$700.62	$7,920.26	$30,593.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,229.54 / $3,229.54 / $4,375.60	Facility		$3,229.54	$3,229.54	$4,375.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $594.69 / $780.89 / $952.44	Professional		$594.69	$780.89	$952.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $384.73 / $612.05 / $1,224.66	Facility		$384.73	$612.05	$1,224.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $539.73 / $724.45 / $764.38	Facility		$539.73	$724.45	$764.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $406.91 / $814.54 / $1,224.66	Facility		$406.91	$814.54	$1,224.66
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