Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.10 / $9,219.96 / $20,400.00	Facility		$540.10	$9,219.96	$20,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.79 / $1,487.79 / $1,664.70	Facility		$1,487.79	$1,487.79	$1,664.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $425.56 / $558.79 / $682.17	Professional		$425.56	$558.79	$682.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $275.31 / $437.99 / $873.85	Facility		$275.31	$437.99	$873.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $385.66 / $518.41 / $544.04	Facility		$385.66	$518.41	$544.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $290.75 / $581.21 / $873.85	Facility		$290.75	$581.21	$873.85
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