Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $894.00 / $5,116.62 / $20,400.00	Facility		$894.00	$5,116.62	$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 $769.31 / $906.38 / $1,087.39	Professional		$769.31	$906.38	$1,087.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $518.79 / $703.44 / $953.70	Facility		$518.79	$703.44	$953.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $540.22 / $747.05 / $823.43	Facility		$540.22	$747.05	$823.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $520.01 / $793.12 / $5,949.00	Facility		$520.01	$793.12	$5,949.00
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