Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $472.83 / $5,229.00 / $9,263.43	Facility		$472.83	$5,229.00	$9,263.43
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 $385.86 / $506.67 / $618.69	Professional		$385.86	$506.67	$618.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $276.08 / $491.77 / $793.35	Facility		$276.08	$491.77	$793.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $349.81 / $470.04 / $520.73	Facility		$349.81	$470.04	$520.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $304.61 / $578.55 / $831.86	Facility		$304.61	$578.55	$831.86
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