Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $375.78 / $4,704.00 / $8,728.00	Facility		$375.78	$4,704.00	$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 $274.60 / $360.58 / $447.08	Professional		$274.60	$360.58	$447.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $179.11 / $309.56 / $464.65	Facility		$179.11	$309.56	$464.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $222.07 / $322.94 / $344.38	Facility		$222.07	$322.94	$344.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $201.42 / $345.32 / $592.21	Facility		$201.42	$345.32	$592.21
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