Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $290.92 / $4,283.46 / $8,728.00	Facility		$290.92	$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 $250.93 / $368.67 / $991.24	Professional		$250.93	$368.67	$991.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $201.58 / $400.78 / $951.61	Facility		$201.58	$400.78	$951.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $264.64 / $712.21 / $818.74	Facility		$264.64	$712.21	$818.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $201.58 / $429.10 / $1,232.41	Facility		$201.58	$429.10	$1,232.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,389.68 / $6,234.89 / $7,536.06	Facility		$4,389.68	$6,234.89	$7,536.06
United Facility/Professional Facility Modifier Low / Median / High Price $1,533.00 / $8,090.00 / $12,786.00	Facility		$1,533.00	$8,090.00	$12,786.00