Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $792.39 / $2,700.94 / $14,049.34	Facility		$792.39	$2,700.94	$14,049.34
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 $572.64 / $751.93 / $917.21	Professional		$572.64	$751.93	$917.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $423.94 / $779.17 / $1,178.07	Facility		$423.94	$779.17	$1,178.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $518.90 / $697.57 / $905.87	Facility		$518.90	$697.57	$905.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $480.06 / $900.48 / $1,411.54	Facility		$480.06	$900.48	$1,411.54
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