Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $5,623.41 / $9,549.93	Facility		$891.25	$5,623.41	$9,549.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $3,235.94	Facility		$2,398.83	$2,398.83	$3,235.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $912.01 / $1,122.02	Professional		$676.08	$912.01	$1,122.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $630.96 / $1,479.11	Facility		$457.09	$630.96	$1,479.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $870.96 / $891.25	Facility		$741.31	$870.96	$891.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $630.96 / $1,096.48	Facility		$426.58	$630.96	$1,096.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $8,912.51 / $10,964.78	Facility		$6,606.93	$8,912.51	$10,964.78
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