Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $423.38 / $5,649.00 / $15,341.00	Facility		$423.38	$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 $308.05 / $404.50 / $494.59	Professional		$308.05	$404.50	$494.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $200.28 / $317.05 / $621.44	Facility		$200.28	$317.05	$621.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $273.74 / $375.26 / $385.25	Facility		$273.74	$375.26	$385.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $209.96 / $413.33 / $621.44	Facility		$209.96	$413.33	$621.44
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 / $5,517.00 / $7,385.00	Facility		$1,472.00	$5,517.00	$7,385.00