Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $285.27 / $4,427.93 / $24,993.98	Facility		$285.27	$4,427.93	$24,993.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.79 / $1,487.79 / $1,664.70	Facility		$1,487.79	$1,487.79	$1,664.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $249.44 / $327.54 / $402.94	Professional		$249.44	$327.54	$402.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $161.37 / $255.13 / $498.67	Facility		$161.37	$255.13	$498.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $214.76 / $296.81 / $312.22	Facility		$214.76	$296.81	$312.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $168.53 / $329.88 / $498.67	Facility		$168.53	$329.88	$498.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,389.68 / $5,951.19 / $7,123.24	Facility		$4,389.68	$5,951.19	$7,123.24
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