Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $315.79 / $4,962.67 / $15,341.00	Facility		$315.79	$4,962.67	$15,341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,310.00 / $2,310.00 / $2,400.80	Facility		$2,310.00	$2,310.00	$2,400.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $271.94 / $387.37 / $594.09	Professional		$271.94	$387.37	$594.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $197.81 / $330.65 / $555.90	Facility		$197.81	$330.65	$555.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $238.52 / $421.43 / $488.43	Facility		$238.52	$421.43	$488.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $200.22 / $368.78 / $636.80	Facility		$200.22	$368.78	$636.80
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 $1,533.00 / $8,090.00 / $12,786.00	Facility		$1,533.00	$8,090.00	$12,786.00