Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $310.20 / $4,283.46 / $8,728.00	Facility		$310.20	$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 $299.17 / $439.55 / $5,450.21	Professional		$299.17	$439.55	$5,450.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $239.81 / $1,970.98 / $7,536.40	Facility		$239.81	$1,970.98	$7,536.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $316.24 / $4,248.99 / $5,437.96	Facility		$316.24	$4,248.99	$5,437.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $241.69 / $2,498.25 / $7,536.40	Facility		$241.69	$2,498.25	$7,536.40
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 / $4,880.00 / $7,233.00	Facility		$1,472.00	$4,880.00	$7,233.00