Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $1,862.09 / $7,943.28	Facility		$323.59	$1,862.09	$7,943.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,348.96 / $1,548.82	Professional		$676.08	$1,348.96	$1,548.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,122.02 / $1,949.84	Facility		$724.44	$1,122.02	$1,949.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,348.96 / $1,445.44	Facility		$977.24	$1,348.96	$1,445.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,071.52 / $1,737.80	Facility		$691.83	$1,071.52	$1,737.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $7,413.10 / $8,912.51	Facility		$5,754.40	$7,413.10	$8,912.51
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $9,549.93 / $12,882.50	Facility		$1,995.26	$9,549.93	$12,882.50