Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $2,344.23 / $6,606.93	Facility		$165.96	$2,344.23	$6,606.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $2,041.74	Facility		$1,479.11	$1,479.11	$2,041.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $218.78 / $2,570.40	Professional		$147.91	$218.78	$2,570.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $977.24 / $2,187.76	Facility		$87.10	$977.24	$2,187.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,819.70 / $1,949.84	Facility		$1,288.25	$1,819.70	$1,949.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $288.40 / $2,089.30	Facility		$83.18	$288.40	$2,089.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $6,025.60 / $7,244.36	Facility		$4,365.16	$6,025.60	$7,244.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $5,495.41 / $7,413.10	Facility		$1,548.82	$5,495.41	$7,413.10