Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.83 / $2,747.00 / $30,593.00	Facility		$0.83	$2,747.00	$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 $679.80 / $892.63 / $1,088.40	Professional		$679.80	$892.63	$1,088.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $439.78 / $699.65 / $1,398.88	Facility		$439.78	$699.65	$1,398.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $617.25 / $828.12 / $879.04	Facility		$617.25	$828.12	$879.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $465.75 / $930.42 / $1,398.88	Facility		$465.75	$930.42	$1,398.88
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