Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $649.10 / $7,920.26 / $20,400.00	Facility		$649.10	$7,920.26	$20,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,347.08 / $1,578.07 / $1,892.99	Professional		$1,347.08	$1,578.07	$1,892.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $896.02 / $1,346.14 / $1,741.65	Facility		$896.02	$1,346.14	$1,741.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,004.85 / $1,388.24 / $1,469.31	Facility		$1,004.85	$1,388.24	$1,469.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $941.36 / $1,378.08 / $1,865.51	Facility		$941.36	$1,378.08	$1,865.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,397.43 / $20,285.91 / $26,041.52	Facility		$9,397.43	$20,285.91	$26,041.52
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00