Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.91 / $2,747.00 / $20,400.00	Facility		$0.91	$2,747.00	$20,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,059.63 / $2,059.63 / $2,400.80	Facility		$2,059.63	$2,059.63	$2,400.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $379.11 / $497.80 / $621.57	Professional		$379.11	$497.80	$621.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $256.51 / $426.96 / $634.96	Facility		$256.51	$426.96	$634.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $312.50 / $432.15 / $472.35	Facility		$312.50	$432.15	$472.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $279.67 / $481.25 / $812.28	Facility		$279.67	$481.25	$812.28
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