Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.78 / $4,704.00 / $8,728.00	Facility		$46.78	$4,704.00	$8,728.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,937.44 / $1,937.44 / $1,937.44	Facility		$1,937.44	$1,937.44	$1,937.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.65 / $44.54 / $54.02	Professional		$37.65	$44.54	$54.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $41.32 / $62.59	Facility		$23.44	$41.32	$62.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $29.89 / $41.09 / $43.55	Facility		$29.89	$41.09	$43.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.45 / $44.41 / $62.59	Facility		$24.45	$44.41	$62.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $713.39 / $1,002.61 / $1,175.01	Facility		$713.39	$1,002.61	$1,175.01
United Facility/Professional Facility Modifier Low / Median / High Price $177.00 / $1,078.00 / $5,183.00	Facility		$177.00	$1,078.00	$5,183.00