Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.52 / $2,747.00 / $8,728.00	Facility		$228.52	$2,747.00	$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 $197.07 / $289.54 / $678.29	Professional		$197.07	$289.54	$678.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $152.01 / $308.22 / $713.61	Facility		$152.01	$308.22	$713.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $212.04 / $502.82 / $561.46	Facility		$212.04	$502.82	$561.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $155.82 / $371.33 / $770.95	Facility		$155.82	$371.33	$770.95
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