Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $504.76 / $7,920.26 / $30,593.00	Facility		$504.76	$7,920.26	$30,593.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $4,099.47	Facility		$1,664.70	$1,664.70	$4,099.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $366.32 / $481.01 / $587.59	Professional		$366.32	$481.01	$587.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $256.91 / $498.21 / $749.06	Facility		$256.91	$498.21	$749.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $343.00 / $446.25 / $547.58	Facility		$343.00	$446.25	$547.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $288.56 / $566.05 / $892.28	Facility		$288.56	$566.05	$892.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,453.20 / $11,142.10 / $14,336.76	Facility		$8,453.20	$11,142.10	$14,336.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,533.00 / $8,090.00 / $12,786.00	Facility		$1,533.00	$8,090.00	$12,786.00