Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $783.85 / $5,584.00 / $15,341.00	Facility		$783.85	$5,584.00	$15,341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,310.00 / $2,310.00 / $7,399.94	Facility		$2,310.00	$2,310.00	$7,399.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $615.66 / $808.42 / $985.98	Professional		$615.66	$808.42	$985.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $413.49 / $727.88 / $1,092.21	Facility		$413.49	$727.88	$1,092.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $559.60 / $749.99 / $799.98	Facility		$559.60	$749.99	$799.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $465.96 / $848.93 / $1,329.59	Facility		$465.96	$848.93	$1,329.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,532.10 / $15,947.51 / $21,335.22	Facility		$8,532.10	$15,947.51	$21,335.22
United Facility/Professional Facility Modifier Low / Median / High Price $1,533.00 / $8,090.00 / $12,786.00	Facility		$1,533.00	$8,090.00	$12,786.00