Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $955.22 / $4,704.00 / $8,728.00	Facility		$955.22	$4,704.00	$8,728.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $451.00 / $451.00 / $451.00	Facility		$451.00	$451.00	$451.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $434.97 / $894.86 / $1,003.02	Professional		$434.97	$894.86	$1,003.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $434.97 / $674.20 / $1,034.82	Facility		$434.97	$674.20	$1,034.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $513.57 / $741.02 / $858.94	Facility		$513.57	$741.02	$858.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $507.19 / $941.22 / $3,023.00	Facility		$507.19	$941.22	$3,023.00
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 $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00