Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.77 / $1,507.40 / $15,819.01	Facility		$177.77	$1,507.40	$15,819.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $866.68 / $866.68 / $1,937.44	Facility		$866.68	$866.68	$1,937.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $163.85 / $240.74 / $1,524.67	Professional		$163.85	$240.74	$1,524.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $132.55 / $639.16 / $1,837.70	Facility		$132.55	$639.16	$1,837.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $517.60 / $1,195.49 / $1,388.91	Facility		$517.60	$1,195.49	$1,388.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $132.55 / $866.68 / $1,837.70	Facility		$132.55	$866.68	$1,837.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,215.19 / $2,820.85 / $3,393.44	Facility		$2,215.19	$2,820.85	$3,393.44
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