Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $276.39 / $4,054.63 / $15,341.00	Facility		$276.39	$4,054.63	$15,341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $866.68 / $866.68 / $2,310.00	Facility		$866.68	$866.68	$2,310.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $258.48 / $379.77 / $973.28	Professional		$258.48	$379.77	$973.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $208.53 / $448.34 / $962.20	Facility		$208.53	$448.34	$962.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $300.39 / $713.55 / $805.34	Facility		$300.39	$713.55	$805.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $208.53 / $560.14 / $1,084.85	Facility		$208.53	$560.14	$1,084.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,215.19 / $2,955.33 / $3,590.10	Facility		$2,215.19	$2,955.33	$3,590.10
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