Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $842.90 / $2,747.00 / $8,728.00	Facility		$842.90	$2,747.00	$8,728.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,937.44 / $1,937.44 / $2,406.86	Facility		$1,937.44	$1,937.44	$2,406.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $815.39 / $1,078.80 / $1,386.00	Professional		$815.39	$1,078.80	$1,386.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $443.68 / $885.68 / $1,381.22	Facility		$443.68	$885.68	$1,381.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $634.36 / $1,015.72 / $1,139.00	Facility		$634.36	$1,015.72	$1,139.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $463.59 / $928.75 / $1,475.99	Facility		$463.59	$928.75	$1,475.99
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