Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $5,248.07 / $13,182.57	Facility		$912.01	$5,248.07	$13,182.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $2,398.83	Facility		$1,659.59	$1,659.59	$2,398.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,000.00 / $1,412.54	Professional		$724.44	$1,000.00	$1,412.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $660.69 / $1,202.26	Facility		$416.87	$660.69	$1,202.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $977.24 / $1,071.52	Facility		$676.08	$977.24	$1,071.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $630.96 / $1,096.48	Facility		$398.11	$630.96	$1,096.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $8,912.51 / $10,715.19	Facility		$6,606.93	$8,912.51	$10,715.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $9,120.11 / $12,882.50	Facility		$1,621.81	$9,120.11	$12,882.50