Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $424.11 / $3,161.21 / $15,341.00	Facility		$424.11	$3,161.21	$15,341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,375.60 / $4,375.60 / $4,375.60	Facility		$4,375.60	$4,375.60	$4,375.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $361.33 / $530.87 / $2,127.10	Professional		$361.33	$530.87	$2,127.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $278.70 / $809.70 / $2,194.69	Facility		$278.70	$809.70	$2,194.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $386.59 / $1,562.17 / $1,748.70	Facility		$386.59	$1,562.17	$1,748.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $287.10 / $977.47 / $2,302.28	Facility		$287.10	$977.47	$2,302.28
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