Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.68 / $4,684.68 / $8,728.00	Facility		$224.68	$4,684.68	$8,728.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.79 / $1,487.79 / $1,937.44	Facility		$1,487.79	$1,487.79	$1,937.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $192.77 / $283.22 / $866.12	Professional		$192.77	$283.22	$866.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $154.50 / $354.74 / $827.88	Facility		$154.50	$354.74	$827.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $245.43 / $630.99 / $714.22	Facility		$245.43	$630.99	$714.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $154.50 / $444.54 / $979.27	Facility		$154.50	$444.54	$979.27
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