Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $637.40 / $5,649.00 / $8,473.50	Facility		$637.40	$5,649.00	$8,473.50
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 $413.56 / $543.04 / $662.96	Professional		$413.56	$543.04	$662.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $326.39 / $608.75 / $910.26	Facility		$326.39	$608.75	$910.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $386.61 / $507.86 / $725.61	Facility		$386.61	$507.86	$725.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $352.67 / $659.05 / $1,165.33	Facility		$352.67	$659.05	$1,165.33
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