Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.09 / $2,747.00 / $8,728.00	Facility		$189.09	$2,747.00	$8,728.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.79 / $1,487.79 / $1,937.44	Facility		$1,487.79	$1,487.79	$1,937.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $164.63 / $239.88 / $1,924.03	Professional		$164.63	$239.88	$1,924.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $129.88 / $412.10 / $2,240.17	Facility		$129.88	$412.10	$2,240.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $168.84 / $1,502.74 / $1,813.56	Facility		$168.84	$1,502.74	$1,813.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $129.88 / $611.10 / $2,436.94	Facility		$129.88	$611.10	$2,436.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,389.68 / $5,951.19 / $7,123.24	Facility		$4,389.68	$5,951.19	$7,123.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,472.00 / $5,130.00 / $7,233.00	Facility		$1,472.00	$5,130.00	$7,233.00