Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $704.01 / $2,747.00 / $7,920.26	Facility		$704.01	$2,747.00	$7,920.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $677.46 / $860.11 / $1,562.90	Professional		$677.46	$860.11	$1,562.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $422.22 / $902.52 / $1,522.95	Facility		$422.22	$902.52	$1,522.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $625.32 / $1,151.06 / $1,301.14	Facility		$625.32	$1,151.06	$1,301.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $422.22 / $902.52 / $1,936.36	Facility		$422.22	$902.52	$1,936.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,265.38 / $2,911.98 / $3,609.89	Facility		$2,265.38	$2,911.98	$3,609.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,706.24 / $7,480.00	Facility		$1,106.00	$2,706.24	$7,480.00