Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $335.07 / $4,684.68 / $8,728.00	Facility		$335.07	$4,684.68	$8,728.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $258.85 / $258.85 / $258.85	Facility		$258.85	$258.85	$258.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $308.99 / $421.54 / $1,527.72	Professional		$308.99	$421.54	$1,527.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $183.60 / $571.74 / $1,301.34	Facility		$183.60	$571.74	$1,301.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $301.50 / $1,032.00 / $1,254.91	Facility		$301.50	$1,032.00	$1,254.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $183.60 / $640.44 / $1,635.54	Facility		$183.60	$640.44	$1,635.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,568.64 / $2,238.71 / $2,599.42	Facility		$1,568.64	$2,238.71	$2,599.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,486.00 / $2,385.00 / $4,911.00	Facility		$1,486.00	$2,385.00	$4,911.00