Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.15 / $1,062.68 / $8,728.00	Facility		$181.15	$1,062.68	$8,728.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $866.68 / $866.68 / $1,937.44	Facility		$866.68	$866.68	$1,937.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $140.75 / $204.75 / $726.65	Professional		$140.75	$204.75	$726.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $111.18 / $195.50 / $745.25	Facility		$111.18	$195.50	$745.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $144.05 / $497.81 / $598.30	Facility		$144.05	$497.81	$598.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $111.18 / $239.04 / $1,028.88	Facility		$111.18	$239.04	$1,028.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,215.19 / $2,955.33 / $3,590.10	Facility		$2,215.19	$2,955.33	$3,590.10
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