Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $372.03 / $4,283.46 / $8,728.00	Facility		$372.03	$4,283.46	$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 $268.26 / $352.25 / $430.75	Professional		$268.26	$352.25	$430.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $207.85 / $359.10 / $550.72	Facility		$207.85	$359.10	$550.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $249.50 / $327.63 / $443.43	Facility		$249.50	$327.63	$443.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $222.67 / $420.00 / $659.95	Facility		$222.67	$420.00	$659.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,830.49 / $3,876.82 / $4,673.63	Facility		$2,830.49	$3,876.82	$4,673.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,472.00 / $4,428.38 / $7,233.00	Facility		$1,472.00	$4,428.38	$7,233.00