Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $320.32 / $4,962.67 / $15,341.00	Facility		$320.32	$4,962.67	$15,341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $604.00 / $604.00 / $604.00	Facility		$604.00	$604.00	$604.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $734.75 / $1,524.72 / $1,694.29	Professional		$734.75	$1,524.72	$1,694.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $734.75 / $1,138.85 / $1,952.09	Facility		$734.75	$1,138.85	$1,952.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $876.76 / $1,347.37 / $1,461.27	Facility		$876.76	$1,347.37	$1,461.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $840.49 / $1,663.74 / $4,681.00	Facility		$840.49	$1,663.74	$4,681.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,698.81 / $7,379.02 / $8,723.76	Facility		$5,698.81	$7,379.02	$8,723.76
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