Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $495.89 / $5,649.00 / $15,341.00	Facility		$495.89	$5,649.00	$15,341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.79 / $1,487.79 / $2,341.30	Facility		$1,487.79	$1,487.79	$2,341.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $359.28 / $471.77 / $575.90	Professional		$359.28	$471.77	$575.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $233.95 / $369.78 / $736.46	Facility		$233.95	$369.78	$736.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $324.13 / $437.67 / $454.92	Facility		$324.13	$437.67	$454.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $245.93 / $489.83 / $736.46	Facility		$245.93	$489.83	$736.46
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 $281.27 / $5,130.00 / $7,233.00	Facility		$281.27	$5,130.00	$7,233.00