Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.94 / $4,962.67 / $15,341.00	Facility		$346.94	$4,962.67	$15,341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $971.00 / $971.00 / $971.00	Facility		$971.00	$971.00	$971.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.49 / $377.76 / $1,937.48	Professional		$288.49	$377.76	$1,937.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $204.79 / $708.08 / $1,870.40	Facility		$204.79	$708.08	$1,870.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $427.75 / $1,368.95 / $1,695.10	Facility		$427.75	$1,368.95	$1,695.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $214.77 / $999.82 / $2,211.32	Facility		$214.77	$999.82	$2,211.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,454.55 / $6,944.43 / $8,747.84	Facility		$5,454.55	$6,944.43	$8,747.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,113.00	Facility		$1,981.00	$9,074.00	$12,113.00