Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $983.36 / $3,213.00 / $8,728.00	Facility		$983.36	$3,213.00	$8,728.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,040.00 / $1,040.00 / $1,040.00	Facility		$1,040.00	$1,040.00	$1,040.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $855.69 / $1,015.47 / $1,218.27	Professional		$855.69	$1,015.47	$1,218.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $553.89 / $797.21 / $1,026.80	Facility		$553.89	$797.21	$1,026.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $568.40 / $795.96 / $910.53	Facility		$568.40	$795.96	$910.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $555.29 / $828.86 / $1,139.56	Facility		$555.29	$828.86	$1,139.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,820.30 / $4,901.89 / $6,016.60	Facility		$3,820.30	$4,901.89	$6,016.60
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