Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $1,949.84 / $6,606.93	Facility		$295.12	$1,949.84	$6,606.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,949.84	Facility		$1,479.11	$1,479.11	$1,949.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $371.54 / $1,862.09	Professional		$239.88	$371.54	$1,862.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $794.33 / $1,949.84	Facility		$147.91	$794.33	$1,949.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,513.56 / $1,778.28	Facility		$1,258.93	$1,513.56	$1,778.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $724.44 / $2,041.74	Facility		$144.54	$724.44	$2,041.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $6,025.60 / $7,244.36	Facility		$4,365.16	$6,025.60	$7,244.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $5,495.41 / $7,413.10	Facility		$1,548.82	$5,495.41	$7,413.10