Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $519.54 / $4,962.67 / $15,341.00	Facility		$519.54	$4,962.67	$15,341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.79 / $1,487.79 / $1,937.44	Facility		$1,487.79	$1,487.79	$1,937.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $448.28 / $658.62 / $2,316.03	Professional		$448.28	$658.62	$2,316.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $356.68 / $970.55 / $2,873.07	Facility		$356.68	$970.55	$2,873.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $485.75 / $1,827.58 / $2,173.50	Facility		$485.75	$1,827.58	$2,173.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $356.68 / $1,367.60 / $2,873.07	Facility		$356.68	$1,367.60	$2,873.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,389.68 / $5,951.19 / $7,123.24	Facility		$4,389.68	$5,951.19	$7,123.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,472.00 / $5,130.00 / $7,233.00	Facility		$1,472.00	$5,130.00	$7,233.00