Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $490.51 / $3,064.70 / $8,728.00	Facility		$490.51	$3,064.70	$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 $419.10 / $615.75 / $1,058.58	Professional		$419.10	$615.75	$1,058.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $337.67 / $654.46 / $1,159.40	Facility		$337.67	$654.46	$1,159.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $444.21 / $797.71 / $926.83	Facility		$444.21	$797.71	$926.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $337.67 / $704.92 / $1,394.88	Facility		$337.67	$704.92	$1,394.88
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