Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.33 / $2,747.00 / $7,920.26	Facility		$512.33	$2,747.00	$7,920.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $1,664.70	Facility		$1,664.70	$1,664.70	$1,664.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.40 / $534.95 / $650.52	Professional		$407.40	$534.95	$650.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $290.04 / $472.35 / $714.56	Facility		$290.04	$472.35	$714.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $369.19 / $496.28 / $521.92	Facility		$369.19	$496.28	$521.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $290.04 / $514.14 / $714.56	Facility		$290.04	$514.14	$714.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,352.20 / $1,352.20 / $1,352.20	Facility		$1,352.20	$1,352.20	$1,352.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,345.00 / $7,664.00 / $31,303.00	Facility		$1,345.00	$7,664.00	$31,303.00