Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $283.19 / $4,283.46 / $8,728.00	Facility		$283.19	$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 $244.15 / $358.72 / $939.95	Professional		$244.15	$358.72	$939.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $194.86 / $328.05 / $945.20	Facility		$194.86	$328.05	$945.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $246.94 / $656.18 / $773.85	Facility		$246.94	$656.18	$773.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.86 / $391.53 / $1,330.75	Facility		$194.86	$391.53	$1,330.75
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