Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.49 / $5,649.00 / $15,341.00	Facility		$562.49	$5,649.00	$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 $406.07 / $533.21 / $651.01	Professional		$406.07	$533.21	$651.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $278.22 / $525.99 / $813.60	Facility		$278.22	$525.99	$813.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $378.77 / $494.67 / $552.16	Facility		$378.77	$494.67	$552.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $310.80 / $605.46 / $874.49	Facility		$310.80	$605.46	$874.49
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