Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $432.46 / $4,283.46 / $8,728.00	Facility		$432.46	$4,283.46	$8,728.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,089.75 / $1,089.75 / $1,937.44	Facility		$1,089.75	$1,089.75	$1,937.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $370.53 / $544.39 / $943.53	Professional		$370.53	$544.39	$943.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $296.45 / $575.66 / $1,031.05	Facility		$296.45	$575.66	$1,031.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $413.22 / $708.86 / $820.06	Facility		$413.22	$708.86	$820.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $296.45 / $615.95 / $1,236.59	Facility		$296.45	$615.95	$1,236.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,830.49 / $3,730.83 / $4,417.60	Facility		$2,830.49	$3,730.83	$4,417.60
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