Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $761.21 / $7,920.26 / $20,400.00	Facility		$761.21	$7,920.26	$20,400.00
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 $652.59 / $767.96 / $921.34	Professional		$652.59	$767.96	$921.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $434.90 / $584.64 / $811.75	Facility		$434.90	$584.64	$811.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $461.24 / $637.84 / $698.81	Facility		$461.24	$637.84	$698.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $440.34 / $656.63 / $5,949.00	Facility		$440.34	$656.63	$5,949.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $9,638.43 / $12,117.15	Facility		$7,715.78	$9,638.43	$12,117.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,517.00 / $7,385.00	Facility		$1,689.00	$5,517.00	$7,385.00