Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.63 / $5,649.00 / $15,341.00	Facility		$512.63	$5,649.00	$15,341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.79 / $1,487.79 / $1,664.70	Facility		$1,487.79	$1,487.79	$1,664.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $370.16 / $486.06 / $593.69	Professional		$370.16	$486.06	$593.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $239.47 / $380.98 / $759.42	Facility		$239.47	$380.98	$759.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $335.76 / $450.92 / $473.02	Facility		$335.76	$450.92	$473.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $251.55 / $505.10 / $759.42	Facility		$251.55	$505.10	$759.42
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