Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $360.35 / $5,229.00 / $15,341.00	Facility		$360.35	$5,229.00	$15,341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,219.43 / $1,219.43 / $4,375.60	Facility		$1,219.43	$1,219.43	$4,375.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $360.68 / $529.92 / $2,127.96	Professional		$360.68	$529.92	$2,127.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $278.20 / $810.02 / $2,195.55	Facility		$278.20	$810.02	$2,195.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $386.59 / $1,562.78 / $1,749.37	Facility		$386.59	$1,562.78	$1,749.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $289.39 / $1,009.29 / $2,302.28	Facility		$289.39	$1,009.29	$2,302.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,868.81 / $5,368.39 / $6,421.06	Facility		$3,868.81	$5,368.39	$6,421.06
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