Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $306.33 / $4,283.46 / $8,728.00	Facility		$306.33	$4,283.46	$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 $263.99 / $387.86 / $952.71	Professional		$263.99	$387.86	$952.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $211.18 / $354.70 / $985.04	Facility		$211.18	$354.70	$985.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $269.20 / $705.41 / $787.25	Facility		$269.20	$705.41	$787.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $211.18 / $407.66 / $1,353.80	Facility		$211.18	$407.66	$1,353.80
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