Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $307.77 / $4,704.00 / $8,728.00	Facility		$307.77	$4,704.00	$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 $222.73 / $292.45 / $358.08	Professional		$222.73	$292.45	$358.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $173.19 / $325.95 / $480.45	Facility		$173.19	$325.95	$480.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $210.21 / $272.69 / $383.61	Facility		$210.21	$272.69	$383.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $189.94 / $354.40 / $620.15	Facility		$189.94	$354.40	$620.15
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