Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $663.39 / $4,704.00 / $8,728.00	Facility		$663.39	$4,704.00	$8,728.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,089.75 / $1,089.75 / $2,059.63	Facility		$1,089.75	$1,089.75	$2,059.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $478.07 / $627.75 / $766.08	Professional		$478.07	$627.75	$766.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $309.27 / $486.41 / $983.71	Facility		$309.27	$486.41	$983.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $432.17 / $582.37 / $601.12	Facility		$432.17	$582.37	$601.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $330.49 / $713.06 / $1,032.33	Facility		$330.49	$713.06	$1,032.33
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