Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $714.73 / $2,792.00 / $15,341.00	Facility		$714.73	$2,792.00	$15,341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,310.00 / $2,310.00 / $3,229.54	Facility		$2,310.00	$2,310.00	$3,229.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $561.16 / $736.86 / $898.85	Professional		$561.16	$736.86	$898.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $399.92 / $716.16 / $1,155.65	Facility		$399.92	$716.16	$1,155.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $509.21 / $683.60 / $754.56	Facility		$509.21	$683.60	$754.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $443.92 / $839.94 / $1,209.78	Facility		$443.92	$839.94	$1,209.78
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