Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.94 / $1,924.00 / $13,746.00	Facility		$660.94	$1,924.00	$13,746.00
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 $626.62 / $786.41 / $1,071.48	Professional		$626.62	$786.41	$1,071.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $419.22 / $648.91 / $1,022.42	Facility		$419.22	$648.91	$1,022.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $518.17 / $815.46 / $891.10	Facility		$518.17	$815.46	$891.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $419.22 / $659.73 / $1,249.56	Facility		$419.22	$659.73	$1,249.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,364.17 / $9,638.43 / $12,117.15	Facility		$6,364.17	$9,638.43	$12,117.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00