Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.27 / $3,060.00 / $8,728.00	Facility		$185.27	$3,060.00	$8,728.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.79 / $1,487.79 / $2,059.63	Facility		$1,487.79	$1,487.79	$2,059.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $159.57 / $232.62 / $2,336.50	Professional		$159.57	$232.62	$2,336.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $125.33 / $879.96 / $2,517.69	Facility		$125.33	$879.96	$2,517.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $166.83 / $1,777.51 / $1,951.71	Facility		$166.83	$1,777.51	$1,951.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.84 / $1,121.13 / $2,558.85	Facility		$125.84	$1,121.13	$2,558.85
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 / $4,880.00 / $7,233.00	Facility		$1,472.00	$4,880.00	$7,233.00