Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.88 / $5,649.00 / $15,341.00	Facility		$416.88	$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 $302.85 / $397.67 / $485.99	Professional		$302.85	$397.67	$485.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $215.28 / $369.15 / $568.32	Facility		$215.28	$369.15	$568.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $281.35 / $368.93 / $392.62	Facility		$281.35	$368.93	$392.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $237.82 / $435.96 / $649.82	Facility		$237.82	$435.96	$649.82
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