Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $729.76 / $4,962.67 / $15,341.00	Facility		$729.76	$4,962.67	$15,341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,375.60 / $4,375.60 / $6,920.02	Facility		$4,375.60	$4,375.60	$6,920.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $619.00 / $909.46 / $2,803.51	Professional		$619.00	$909.46	$2,803.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $486.51 / $1,071.90 / $2,956.30	Facility		$486.51	$1,071.90	$2,956.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $653.25 / $2,220.23 / $2,351.03	Facility		$653.25	$2,220.23	$2,351.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $495.80 / $1,357.69 / $3,011.07	Facility		$495.80	$1,357.69	$3,011.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,763.99 / $12,103.13 / $28,321.84	Facility		$8,763.99	$12,103.13	$28,321.84
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