Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.71 / $5,012.80 / $15,341.00	Facility		$206.71	$5,012.80	$15,341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,310.00 / $2,310.00 / $2,406.86	Facility		$2,310.00	$2,310.00	$2,406.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $221.51 / $271.31	Professional		$170.00	$221.51	$271.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $116.40 / $202.44 / $292.49	Facility		$116.40	$202.44	$292.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $151.16 / $205.50 / $211.72	Facility		$151.16	$205.50	$211.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.40 / $221.66 / $337.74	Facility		$125.40	$221.66	$337.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,607.31 / $8,780.14 / $10,511.02	Facility		$6,607.31	$8,780.14	$10,511.02
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