Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.26 / $4,962.67 / $15,341.00	Facility		$426.26	$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 $362.11 / $532.02 / $2,133.62	Professional		$362.11	$532.02	$2,133.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $286.33 / $812.01 / $2,634.73	Facility		$286.33	$812.01	$2,634.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $388.60 / $1,681.94 / $1,932.95	Facility		$388.60	$1,681.94	$1,932.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $290.87 / $1,105.76 / $2,769.30	Facility		$290.87	$1,105.76	$2,769.30
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