Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,698.24 / $13,182.57	Facility		$416.87	$1,698.24	$13,182.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,659.59	Facility		$1,230.27	$1,230.27	$1,659.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $512.86 / $1,778.28	Professional		$338.84	$512.86	$1,778.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $794.33 / $1,737.80	Facility		$239.88	$794.33	$1,737.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,380.38 / $1,479.11	Facility		$954.99	$1,380.38	$1,479.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $676.08 / $1,548.82	Facility		$204.17	$676.08	$1,548.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $5,128.61 / $6,165.95	Facility		$3,890.45	$5,128.61	$6,165.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $5,128.61 / $7,413.10	Facility		$1,548.82	$5,128.61	$7,413.10