Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $994.19 / $8,115.62 / $13,320.00	Facility		$994.19	$8,115.62	$13,320.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $2,406.86	Facility		$1,664.70	$1,664.70	$2,406.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $771.16 / $1,020.46 / $1,312.67	Professional		$771.16	$1,020.46	$1,312.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $442.07 / $845.02 / $1,316.36	Facility		$442.07	$845.02	$1,316.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $600.89 / $959.44 / $1,078.70	Facility		$600.89	$959.44	$1,078.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $478.27 / $884.86 / $1,408.23	Facility		$478.27	$884.86	$1,408.23
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