Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $3,090.30 / $7,943.28	Facility		$741.31	$3,090.30	$7,943.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $4,365.16	Facility		$2,884.03	$2,884.03	$4,365.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $933.25 / $2,951.21	Professional		$602.56	$933.25	$2,951.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,258.93 / $2,884.03	Facility		$380.19	$1,258.93	$2,884.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,398.83 / $2,818.38	Facility		$1,905.46	$2,398.83	$2,818.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $1,122.02 / $2,884.03	Facility		$363.08	$1,122.02	$2,884.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $11,481.54 / $14,791.08	Facility		$8,709.64	$11,481.54	$14,791.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $12,882.50 / $25,118.86	Facility		$1,995.26	$12,882.50	$25,118.86