Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.45 / $4,283.46 / $8,728.00	Facility		$210.45	$4,283.46	$8,728.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $866.68 / $866.68 / $1,937.44	Facility		$866.68	$866.68	$1,937.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $179.05 / $263.06 / $1,178.92	Professional		$179.05	$263.06	$1,178.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $141.53 / $447.58 / $1,208.47	Facility		$141.53	$447.58	$1,208.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $188.94 / $858.27 / $968.82	Facility		$188.94	$858.27	$968.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $143.80 / $586.00 / $1,280.29	Facility		$143.80	$586.00	$1,280.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,215.19 / $2,820.85 / $3,393.44	Facility		$2,215.19	$2,820.85	$3,393.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,472.00 / $4,880.00 / $7,233.00	Facility		$1,472.00	$4,880.00	$7,233.00