Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.35 / $4,283.46 / $8,728.00	Facility		$108.35	$4,283.46	$8,728.00
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 $94.10 / $178.00 / $1,744.08	Professional		$94.10	$178.00	$1,744.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $72.92 / $707.13 / $1,859.28	Facility		$72.92	$707.13	$1,859.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $95.91 / $1,360.11 / $1,445.19	Facility		$95.91	$1,360.11	$1,445.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.92 / $944.99 / $1,859.28	Facility		$72.92	$944.99	$1,859.28
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