Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.76 / $5,649.00 / $15,341.00	Facility		$803.76	$5,649.00	$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 $681.48 / $1,001.25 / $3,059.85	Professional		$681.48	$1,001.25	$3,059.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $540.60 / $1,186.63 / $3,764.02	Facility		$540.60	$1,186.63	$3,764.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $729.63 / $2,424.67 / $2,801.94	Facility		$729.63	$2,424.67	$2,801.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $546.51 / $1,579.92 / $4,121.64	Facility		$546.51	$1,579.92	$4,121.64
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