Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.80 / $5,649.00 / $15,341.00	Facility		$407.80	$5,649.00	$15,341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,341.30 / $2,341.30 / $3,229.54	Facility		$2,341.30	$2,341.30	$3,229.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $296.64 / $389.52 / $478.21	Professional		$296.64	$389.52	$478.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $191.91 / $301.82 / $589.90	Facility		$191.91	$301.82	$589.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $259.69 / $353.76 / $371.18	Facility		$259.69	$353.76	$371.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $200.66 / $392.35 / $589.90	Facility		$200.66	$392.35	$589.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,453.20 / $11,142.10 / $14,336.76	Facility		$8,453.20	$11,142.10	$14,336.76
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