Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $571.71 / $4,283.46 / $8,728.00	Facility		$571.71	$4,283.46	$8,728.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,937.44 / $1,937.44 / $2,400.80	Facility		$1,937.44	$1,937.44	$2,400.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $504.52 / $697.23 / $985.30	Professional		$504.52	$697.23	$985.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $369.22 / $622.94 / $958.80	Facility		$369.22	$622.94	$958.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $438.40 / $730.97 / $791.94	Facility		$438.40	$730.97	$791.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $369.22 / $632.04 / $1,052.41	Facility		$369.22	$632.04	$1,052.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,382.73 / $9,721.75 / $12,052.68	Facility		$7,382.73	$9,721.75	$12,052.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,472.00 / $4,880.00 / $7,233.00	Facility		$1,472.00	$4,880.00	$7,233.00