Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,096.48 / $6,606.93	Facility		$501.19	$1,096.48	$6,606.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,949.84	Facility		$1,096.48	$1,096.48	$1,949.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $562.34 / $1,148.15	Professional		$380.19	$562.34	$1,148.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $537.03 / $1,023.29	Facility		$245.47	$537.03	$1,023.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $812.83 / $912.01	Facility		$562.34	$812.83	$912.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $501.19 / $1,000.00	Facility		$234.42	$501.19	$1,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $3,715.35 / $4,466.84	Facility		$2,818.38	$3,715.35	$4,466.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $4,897.79 / $7,244.36	Facility		$1,548.82	$4,897.79	$7,244.36