Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,230.27 / $13,803.84	Facility		$933.25	$1,230.27	$13,803.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $870.96 / $1,000.00	Professional		$436.52	$870.96	$1,000.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $724.44 / $1,584.89	Facility		$489.78	$724.44	$1,584.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $891.25 / $954.99	Facility		$676.08	$891.25	$954.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $724.44 / $1,202.26	Facility		$467.74	$724.44	$1,202.26
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