Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $373.04 / $4,704.00 / $8,728.00	Facility		$373.04	$4,704.00	$8,728.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.79 / $1,487.79 / $2,341.30	Facility		$1,487.79	$1,487.79	$2,341.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $271.88 / $357.01 / $438.53	Professional		$271.88	$357.01	$438.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $175.89 / $277.70 / $542.77	Facility		$175.89	$277.70	$542.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $237.89 / $328.97 / $339.69	Facility		$237.89	$328.97	$339.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $183.51 / $361.00 / $542.77	Facility		$183.51	$361.00	$542.77
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