Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $626.34 / $988.00 / $7,920.26	Facility		$626.34	$988.00	$7,920.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $704.14 / $875.12 / $1,064.99	Professional		$704.14	$875.12	$1,064.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $445.73 / $692.01 / $1,023.39	Facility		$445.73	$692.01	$1,023.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $516.60 / $795.83 / $877.70	Facility		$516.60	$795.83	$877.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $451.31 / $725.23 / $1,162.55	Facility		$451.31	$725.23	$1,162.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,820.30 / $4,901.89 / $6,365.28	Facility		$3,820.30	$4,901.89	$6,365.28
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