Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $313.31 / $5,649.00 / $15,341.00	Facility		$313.31	$5,649.00	$15,341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.79 / $1,487.79 / $2,310.00	Facility		$1,487.79	$1,487.79	$2,310.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $226.93 / $297.98 / $364.75	Professional		$226.93	$297.98	$364.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $161.60 / $281.52 / $434.11	Facility		$161.60	$281.52	$434.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $204.94 / $276.43 / $299.49	Facility		$204.94	$276.43	$299.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $177.77 / $332.54 / $489.67	Facility		$177.77	$332.54	$489.67
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