Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $973.38 / $8,369.76 / $30,593.00	Facility		$973.38	$8,369.76	$30,593.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $8,429.35	Facility		$1,664.70	$1,664.70	$8,429.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $702.12 / $921.95 / $1,115.72	Professional		$702.12	$921.95	$1,115.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $504.34 / $894.45 / $1,327.31	Facility		$504.34	$894.45	$1,327.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $666.67 / $855.31 / $1,017.06	Facility		$666.67	$855.31	$1,017.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $566.35 / $1,040.69 / $1,620.28	Facility		$566.35	$1,040.69	$1,620.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,624.30 / $18,659.50 / $38,534.69	Facility		$13,624.30	$18,659.50	$38,534.69
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