Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.61 / $1,637.16 / $8,728.00	Facility		$154.61	$1,637.16	$8,728.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,089.75 / $1,089.75 / $1,937.44	Facility		$1,089.75	$1,089.75	$1,937.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.57 / $214.88 / $1,107.91	Professional		$147.57	$214.88	$1,107.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $117.05 / $424.83 / $1,220.98	Facility		$117.05	$424.83	$1,220.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $189.07 / $819.41 / $956.32	Facility		$189.07	$819.41	$956.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.05 / $573.19 / $1,373.59	Facility		$117.05	$573.19	$1,373.59
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 $1,472.00 / $4,428.38 / $7,233.00	Facility		$1,472.00	$4,428.38	$7,233.00