Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.89 / $5,116.62 / $8,728.00	Facility		$562.89	$5,116.62	$8,728.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,937.44 / $1,937.44 / $2,406.86	Facility		$1,937.44	$1,937.44	$2,406.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $490.24 / $643.73 / $799.57	Professional		$490.24	$643.73	$799.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $331.35 / $542.16 / $824.71	Facility		$331.35	$542.16	$824.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $415.03 / $574.19 / $615.05	Facility		$415.03	$574.19	$615.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $352.35 / $601.61 / $1,057.69	Facility		$352.35	$601.61	$1,057.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,607.31 / $8,780.14 / $10,511.02	Facility		$6,607.31	$8,780.14	$10,511.02
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