Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $547.97 / $8,214.12 / $13,320.00	Facility		$547.97	$8,214.12	$13,320.00
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 $356.85 / $468.58 / $572.41	Professional		$356.85	$468.58	$572.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $264.58 / $461.71 / $731.82	Facility		$264.58	$461.71	$731.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $322.19 / $434.71 / $520.41	Facility		$322.19	$434.71	$520.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $294.95 / $552.78 / $835.82	Facility		$294.95	$552.78	$835.82
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 / $5,130.00 / $7,233.00	Facility		$1,472.00	$5,130.00	$7,233.00