Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $837.47 / $5,649.00 / $15,341.00	Facility		$837.47	$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 $604.37 / $793.59 / $967.86	Professional		$604.37	$793.59	$967.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $428.00 / $743.82 / $1,134.79	Facility		$428.00	$743.82	$1,134.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $550.55 / $736.22 / $785.24	Facility		$550.55	$736.22	$785.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $478.34 / $876.59 / $1,303.09	Facility		$478.34	$876.59	$1,303.09
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