Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $520.59 / $5,649.00 / $15,341.00	Facility		$520.59	$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 $377.41 / $495.57 / $604.96	Professional		$377.41	$495.57	$604.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $269.41 / $460.92 / $707.16	Facility		$269.41	$460.92	$707.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $342.54 / $459.74 / $491.11	Facility		$342.54	$459.74	$491.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $296.64 / $540.82 / $813.42	Facility		$296.64	$540.82	$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