Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $425.21 / $3,213.00 / $8,728.00	Facility		$425.21	$3,213.00	$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 $311.08 / $408.49 / $504.77	Professional		$311.08	$408.49	$504.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $210.65 / $350.92 / $536.85	Facility		$210.65	$350.92	$536.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $270.83 / $371.18 / $389.94	Facility		$270.83	$371.18	$389.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $233.30 / $402.42 / $670.56	Facility		$233.30	$402.42	$670.56
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