Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $470.06 / $2,201.66 / $18,360.00	Facility		$470.06	$2,201.66	$18,360.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $1,664.70	Facility		$1,664.70	$1,664.70	$1,664.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $371.73 / $488.11 / $592.86	Professional		$371.73	$488.11	$592.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $267.61 / $437.68 / $662.73	Facility		$267.61	$437.68	$662.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $339.63 / $452.84 / $477.04	Facility		$339.63	$452.84	$477.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $274.02 / $490.20 / $662.73	Facility		$274.02	$490.20	$662.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,245.74 / $1,245.74 / $1,245.74	Facility		$1,245.74	$1,245.74	$1,245.74
United Facility/Professional Facility Modifier Low / Median / High Price $2,151.00 / $15,055.00 / $24,231.00	Facility		$2,151.00	$15,055.00	$24,231.00