Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $651.95 / $5,649.00 / $15,341.00	Facility		$651.95	$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 $469.51 / $616.52 / $752.21	Professional		$469.51	$616.52	$752.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $333.61 / $575.41 / $884.87	Facility		$333.61	$575.41	$884.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $426.84 / $571.95 / $611.71	Facility		$426.84	$571.95	$611.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $371.20 / $682.85 / $1,015.06	Facility		$371.20	$682.85	$1,015.06
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