Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $535.37 / $5,649.00 / $15,341.00	Facility		$535.37	$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 $386.95 / $508.10 / $620.45	Professional		$386.95	$508.10	$620.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $272.79 / $475.41 / $731.22	Facility		$272.79	$475.41	$731.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $361.62 / $471.37 / $505.18	Facility		$361.62	$471.37	$505.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $305.20 / $565.09 / $833.02	Facility		$305.20	$565.09	$833.02
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