Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $418.05 / $5,649.00 / $15,341.00	Facility		$418.05	$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 $302.01 / $396.57 / $484.72	Professional		$302.01	$396.57	$484.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $213.15 / $370.53 / $572.95	Facility		$213.15	$370.53	$572.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $278.39 / $367.90 / $393.96	Facility		$278.39	$367.90	$393.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $237.53 / $438.53 / $650.97	Facility		$237.53	$438.53	$650.97
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 / $4,880.00 / $7,233.00	Facility		$1,472.00	$4,880.00	$7,233.00