Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $746.67 / $14,614.14 / $59,252.00	Facility		$746.67	$14,614.14	$59,252.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $1,664.70	Facility		$1,664.70	$1,664.70	$1,664.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,533.94 / $2,014.21 / $2,465.71	Professional		$1,533.94	$2,014.21	$2,465.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,057.71 / $1,729.17 / $2,663.88	Facility		$1,057.71	$1,729.17	$2,663.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,285.46 / $1,854.56 / $1,956.40	Facility		$1,285.46	$1,854.56	$1,956.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,133.09 / $1,954.05 / $2,663.88	Facility		$1,133.09	$1,954.05	$2,663.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,016.62 / $5,016.62 / $5,016.62	Facility		$5,016.62	$5,016.62	$5,016.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,345.00 / $7,664.00 / $31,303.00	Facility		$1,345.00	$7,664.00	$31,303.00