Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $431.89 / $5,649.00 / $15,341.00	Facility		$431.89	$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 $313.20 / $411.26 / $502.09	Professional		$313.20	$411.26	$502.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $243.95 / $440.77 / $718.27	Facility		$243.95	$440.77	$718.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $321.83 / $389.27 / $884.00	Facility		$321.83	$389.27	$884.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $270.05 / $496.84 / $1,184.90	Facility		$270.05	$496.84	$1,184.90
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