Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $1,513.56 / $7,943.28	Facility		$177.83	$1,513.56	$7,943.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $1,949.84	Facility		$870.96	$870.96	$1,949.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $223.87 / $1,479.11	Professional		$144.54	$223.87	$1,479.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $630.96 / $1,513.56	Facility		$89.13	$630.96	$1,513.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,202.26 / $1,380.38	Facility		$1,000.00	$1,202.26	$1,380.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $575.44 / $1,513.56	Facility		$89.13	$575.44	$1,513.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,884.03 / $3,467.37	Facility		$2,238.72	$2,884.03	$3,467.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $4,466.84 / $7,244.36	Facility		$1,548.82	$4,466.84	$7,244.36