Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.29 / $5,116.62 / $15,341.00	Facility		$969.29	$5,116.62	$15,341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,310.00 / $2,310.00 / $2,406.86	Facility		$2,310.00	$2,310.00	$2,406.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $709.31 / $931.39 / $1,156.45	Professional		$709.31	$931.39	$1,156.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $445.43 / $777.13 / $1,184.77	Facility		$445.43	$777.13	$1,184.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $559.82 / $824.77 / $891.77	Facility		$559.82	$824.77	$891.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $456.40 / $865.78 / $1,533.54	Facility		$456.40	$865.78	$1,533.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,607.31 / $8,780.14 / $10,511.02	Facility		$6,607.31	$8,780.14	$10,511.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,533.00 / $8,090.00 / $12,786.00	Facility		$1,533.00	$8,090.00	$12,786.00