Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $409.82 / $5,649.00 / $15,341.00	Facility		$409.82	$5,649.00	$15,341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,375.60 / $4,375.60 / $6,921.91	Facility		$4,375.60	$4,375.60	$6,921.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $297.00 / $389.99 / $475.58	Professional		$297.00	$389.99	$475.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $195.16 / $305.67 / $604.37	Facility		$195.16	$305.67	$604.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $260.87 / $361.79 / $377.40	Facility		$260.87	$361.79	$377.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $203.01 / $401.97 / $604.37	Facility		$203.01	$401.97	$604.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,475.25 / $17,909.58 / $21,335.22	Facility		$13,475.25	$17,909.58	$21,335.22
United Facility/Professional Facility Modifier Low / Median / High Price $1,895.00 / $11,770.00 / $26,404.00	Facility		$1,895.00	$11,770.00	$26,404.00