Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $406.04 / $4,283.46 / $8,728.00	Facility		$406.04	$4,283.46	$8,728.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $573.05 / $573.05 / $2,310.00	Facility		$573.05	$573.05	$2,310.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $350.09 / $514.37 / $1,172.83	Professional		$350.09	$514.37	$1,172.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $276.30 / $541.84 / $1,333.87	Facility		$276.30	$541.84	$1,333.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $364.48 / $917.90 / $1,003.66	Facility		$364.48	$917.90	$1,003.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $276.30 / $642.57 / $1,366.80	Facility		$276.30	$642.57	$1,366.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,510.12 / $4,799.60 / $5,196.60	Facility		$3,510.12	$4,799.60	$5,196.60
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