Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $785.61 / $7,920.26 / $13,320.00	Facility		$785.61	$7,920.26	$13,320.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $759.41 / $889.52 / $1,067.17	Professional		$759.41	$889.52	$1,067.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $507.30 / $722.16 / $957.95	Facility		$507.30	$722.16	$957.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $534.41 / $747.05 / $824.77	Facility		$534.41	$747.05	$824.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $514.29 / $788.02 / $5,217.00	Facility		$514.29	$788.02	$5,217.00
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