Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $516.61 / $5,649.00 / $15,341.00	Facility		$516.61	$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 $373.94 / $491.02 / $599.27	Professional		$373.94	$491.02	$599.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $257.00 / $470.63 / $736.78	Facility		$257.00	$470.63	$736.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $337.70 / $455.52 / $485.75	Facility		$337.70	$455.52	$485.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $294.70 / $555.34 / $807.67	Facility		$294.70	$555.34	$807.67
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