Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $872.77 / $4,962.67 / $15,341.00	Facility		$872.77	$4,962.67	$15,341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $737.19 / $866.06 / $1,035.93	Professional		$737.19	$866.06	$1,035.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $534.91 / $755.08 / $1,016.75	Facility		$534.91	$755.08	$1,016.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $558.14 / $767.15 / $806.68	Facility		$558.14	$767.15	$806.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $534.91 / $808.64 / $2,402.00	Facility		$534.91	$808.64	$2,402.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,527.70 / $20,006.47 / $24,937.25	Facility		$15,527.70	$20,006.47	$24,937.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00