Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $366.70 / $2,747.00 / $15,341.00	Facility		$366.70	$2,747.00	$15,341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.79 / $1,487.79 / $2,341.30	Facility		$1,487.79	$1,487.79	$2,341.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $313.83 / $461.11 / $828.36	Professional		$313.83	$461.11	$828.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $242.08 / $430.10 / $906.10	Facility		$242.08	$430.10	$906.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $331.65 / $619.75 / $693.65	Facility		$331.65	$619.75	$693.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $253.45 / $530.15 / $906.10	Facility		$253.45	$530.15	$906.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,117.62 / $9,822.48 / $12,564.30	Facility		$7,117.62	$9,822.48	$12,564.30
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