Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $947.65 / $7,920.26 / $20,400.00	Facility		$947.65	$7,920.26	$20,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.00 / $691.00 / $691.00	Facility		$691.00	$691.00	$691.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $433.83 / $900.11 / $1,000.39	Professional		$433.83	$900.11	$1,000.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $433.83 / $706.49 / $1,179.21	Facility		$433.83	$706.49	$1,179.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $589.15 / $809.90 / $855.59	Facility		$589.15	$809.90	$855.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $508.19 / $924.09 / $5,217.00	Facility		$508.19	$924.09	$5,217.00
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