Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $894.90 / $5,584.00 / $15,341.00	Facility		$894.90	$5,584.00	$15,341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,406.86 / $2,406.86 / $3,250.41	Facility		$2,406.86	$2,406.86	$3,250.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $714.60 / $938.34 / $1,168.45	Professional		$714.60	$938.34	$1,168.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $468.88 / $735.47 / $1,473.98	Facility		$468.88	$735.47	$1,473.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $589.60 / $870.52 / $901.00	Facility		$589.60	$870.52	$901.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $479.83 / $980.37 / $1,473.98	Facility		$479.83	$980.37	$1,473.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,607.31 / $9,198.70 / $11,120.17	Facility		$6,607.31	$9,198.70	$11,120.17
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