Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $1,023.29 / $6,606.93	Facility		$154.88	$1,023.29	$6,606.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,949.84	Facility		$1,096.48	$1,096.48	$1,949.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $204.17 / $1,202.26	Professional		$138.04	$204.17	$1,202.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $457.09 / $1,000.00	Facility		$89.13	$457.09	$1,000.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $870.96 / $933.25	Facility		$602.56	$870.96	$933.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $407.38 / $977.24	Facility		$81.28	$407.38	$977.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $3,715.35 / $4,466.84	Facility		$2,818.38	$3,715.35	$4,466.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $4,897.79 / $7,244.36	Facility		$1,548.82	$4,897.79	$7,244.36