Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $345.29 / $5,649.00 / $15,341.00	Facility		$345.29	$5,649.00	$15,341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.79 / $1,487.79 / $2,310.00	Facility		$1,487.79	$1,487.79	$2,310.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $246.69 / $323.92 / $395.75	Professional		$246.69	$323.92	$395.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $194.56 / $341.55 / $534.61	Facility		$194.56	$341.55	$534.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $253.20 / $310.88 / $734.52	Facility		$253.20	$310.88	$734.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $210.37 / $390.93 / $993.65	Facility		$210.37	$390.93	$993.65
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