Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $517.07 / $3,213.00 / $8,728.00	Facility		$517.07	$3,213.00	$8,728.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,219.43 / $1,219.43 / $1,937.44	Facility		$1,219.43	$1,219.43	$1,937.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $440.06 / $646.54 / $1,224.89	Professional		$440.06	$646.54	$1,224.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $354.05 / $648.85 / $1,327.70	Facility		$354.05	$648.85	$1,327.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $469.67 / $963.59 / $1,037.78	Facility		$469.67	$963.59	$1,037.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $355.73 / $782.81 / $1,460.60	Facility		$355.73	$782.81	$1,460.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,868.81 / $5,124.10 / $6,069.32	Facility		$3,868.81	$5,124.10	$6,069.32
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