Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $519.92 / $4,962.67 / $15,341.00	Facility		$519.92	$4,962.67	$15,341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,089.75 / $1,089.75 / $2,310.00	Facility		$1,089.75	$1,089.75	$2,310.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $444.14 / $652.54 / $1,049.80	Professional		$444.14	$652.54	$1,049.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $358.55 / $681.21 / $1,169.55	Facility		$358.55	$681.21	$1,169.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $475.20 / $794.62 / $933.38	Facility		$475.20	$794.62	$933.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $358.55 / $696.16 / $1,397.66	Facility		$358.55	$696.16	$1,397.66
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