Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $944.24 / $4,962.67 / $7,920.26	Facility		$944.24	$4,962.67	$7,920.26
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 $806.43 / $944.59 / $1,133.24	Professional		$806.43	$944.59	$1,133.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $523.75 / $750.24 / $1,014.90	Facility		$523.75	$750.24	$1,014.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $568.70 / $791.27 / $871.67	Facility		$568.70	$791.27	$871.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $540.55 / $834.24 / $2,919.00	Facility		$540.55	$834.24	$2,919.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,846.16 / $6,142.31 / $7,227.91	Facility		$4,846.16	$6,142.31	$7,227.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00