Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $449.09 / $7,920.26 / $30,593.00	Facility		$449.09	$7,920.26	$30,593.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,219.43 / $1,219.43 / $1,664.70	Facility		$1,219.43	$1,219.43	$1,664.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $381.96 / $561.19 / $1,810.99	Professional		$381.96	$561.19	$1,810.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $294.62 / $692.09 / $1,868.64	Facility		$294.62	$692.09	$1,868.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $451.00 / $1,338.36 / $1,492.76	Facility		$451.00	$1,338.36	$1,492.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $306.31 / $851.21 / $1,945.31	Facility		$306.31	$851.21	$1,945.31
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