Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $505.26 / $5,649.00 / $20,830.72	Facility		$505.26	$5,649.00	$20,830.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $356.30 / $356.30 / $356.30	Facility		$356.30	$356.30	$356.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $421.02 / $574.39 / $2,022.91	Professional		$421.02	$574.39	$2,022.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $238.36 / $771.50 / $1,962.12	Facility		$238.36	$771.50	$1,962.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $417.41 / $1,525.59 / $1,658.92	Facility		$417.41	$1,525.59	$1,658.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $266.99 / $878.93 / $2,173.57	Facility		$266.99	$878.93	$2,173.57
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,763.99 / $12,103.13 / $13,092.93	Facility		$8,763.99	$12,103.13	$13,092.93
United Facility/Professional Facility Modifier Low / Median / High Price $3,949.00 / $12,835.00 / $26,404.00	Facility		$3,949.00	$12,835.00	$26,404.00