Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $430.88 / $5,649.00 / $15,341.00	Facility		$430.88	$5,649.00	$15,341.00
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 $314.19 / $412.56 / $506.04	Professional		$314.19	$412.56	$506.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $203.26 / $322.38 / $630.10	Facility		$203.26	$322.38	$630.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $277.13 / $380.56 / $392.62	Facility		$277.13	$380.56	$392.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $211.51 / $419.09 / $630.10	Facility		$211.51	$419.09	$630.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,117.62 / $9,822.48 / $12,564.30	Facility		$7,117.62	$9,822.48	$12,564.30
United Facility/Professional Facility Modifier Low / Median / High Price $680.00 / $5,130.00 / $7,233.00	Facility		$680.00	$5,130.00	$7,233.00