Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $374.84 / $4,283.46 / $8,728.00	Facility		$374.84	$4,283.46	$8,728.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,089.75 / $1,089.75 / $2,059.63	Facility		$1,089.75	$1,089.75	$2,059.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $320.25 / $470.52 / $1,020.91	Professional		$320.25	$470.52	$1,020.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $256.11 / $451.93 / $1,054.00	Facility		$256.11	$451.93	$1,054.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $338.35 / $760.38 / $844.20	Facility		$338.35	$760.38	$844.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $257.99 / $607.89 / $1,451.73	Facility		$257.99	$607.89	$1,451.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,830.49 / $3,730.83 / $4,417.60	Facility		$2,830.49	$3,730.83	$4,417.60
United Facility/Professional Facility Modifier Low / Median / High Price $501.70 / $5,130.00 / $7,385.00	Facility		$501.70	$5,130.00	$7,385.00