Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $663.39 / $5,649.00 / $15,341.00	Facility		$663.39	$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 $478.61 / $628.46 / $767.01	Professional		$478.61	$628.46	$767.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $330.49 / $641.34 / $984.92	Facility		$330.49	$641.34	$984.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $445.90 / $583.03 / $703.30	Facility		$445.90	$583.03	$703.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $374.27 / $742.85 / $1,047.78	Facility		$374.27	$742.85	$1,047.78
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 / $4,880.00 / $7,233.00	Facility		$1,472.00	$4,880.00	$7,233.00