Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $574.64 / $4,962.67 / $15,341.00	Facility		$574.64	$4,962.67	$15,341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,901.32 / $2,901.32 / $4,375.60	Facility		$2,901.32	$2,901.32	$4,375.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $486.76 / $715.16 / $2,790.18	Professional		$486.76	$715.16	$2,790.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $387.83 / $1,062.54 / $3,348.15	Facility		$387.83	$1,062.54	$3,348.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $511.88 / $2,200.86 / $2,457.52	Facility		$511.88	$2,200.86	$2,457.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $390.65 / $1,409.20 / $3,348.15	Facility		$390.65	$1,409.20	$3,348.15
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 $1,895.00 / $11,770.00 / $26,404.00	Facility		$1,895.00	$11,770.00	$26,404.00