Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $420.59 / $4,704.00 / $8,728.00	Facility		$420.59	$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 $306.54 / $402.51 / $491.11	Professional		$306.54	$402.51	$491.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $198.35 / $313.48 / $612.71	Facility		$198.35	$313.48	$612.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $270.68 / $371.85 / $380.56	Facility		$270.68	$371.85	$380.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $207.95 / $407.52 / $612.71	Facility		$207.95	$407.52	$612.71
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