Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $445.80 / $5,649.00 / $15,341.00	Facility		$445.80	$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 $322.23 / $423.12 / $517.07	Professional		$322.23	$423.12	$517.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $228.95 / $395.37 / $609.97	Facility		$228.95	$395.37	$609.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $298.80 / $392.54 / $420.09	Facility		$298.80	$392.54	$420.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $253.59 / $470.25 / $693.60	Facility		$253.59	$470.25	$693.60
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