Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $523.38 / $5,649.00 / $15,341.00	Facility		$523.38	$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 $377.83 / $496.13 / $605.89	Professional		$377.83	$496.13	$605.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $267.86 / $467.13 / $715.49	Facility		$267.86	$467.13	$715.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $342.06 / $460.26 / $493.12	Facility		$342.06	$460.26	$493.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $297.93 / $552.92 / $813.42	Facility		$297.93	$552.92	$813.42
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