Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $509.43 / $8,554.73 / $30,593.00	Facility		$509.43	$8,554.73	$30,593.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,375.60 / $4,375.60 / $6,995.87	Facility		$4,375.60	$4,375.60	$6,995.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $433.47 / $636.86 / $8,964.74	Professional		$433.47	$636.86	$8,964.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $344.92 / $3,374.46 / $11,374.70	Facility		$344.92	$3,374.46	$11,374.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $462.30 / $6,989.59 / $8,198.79	Facility		$462.30	$6,989.59	$8,198.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $348.08 / $4,301.62 / $11,374.70	Facility		$348.08	$4,301.62	$11,374.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,624.30 / $18,659.50 / $21,600.03	Facility		$13,624.30	$18,659.50	$21,600.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,800.00 / $17,375.00 / $26,255.00	Facility		$2,800.00	$17,375.00	$26,255.00