Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $5,011.87 / $7,943.28	Facility		$199.53	$5,011.87	$7,943.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,398.83	Facility		$2,290.87	$2,290.87	$2,398.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $204.17 / $251.19	Professional		$158.49	$204.17	$251.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $158.49 / $380.19	Facility		$109.65	$158.49	$380.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $204.17 / $213.80	Facility		$173.78	$204.17	$213.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $154.88 / $257.04	Facility		$100.00	$154.88	$257.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $8,912.51 / $10,715.19	Facility		$6,606.93	$8,912.51	$10,715.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $5,495.41 / $10,471.29	Facility		$1,548.82	$5,495.41	$10,471.29