Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $284.95 / $9,045.29 / $13,320.00	Facility		$284.95	$9,045.29	$13,320.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $2,406.86	Facility		$1,664.70	$1,664.70	$2,406.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.26 / $244.57 / $300.73	Professional		$186.26	$244.57	$300.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $186.85 / $443.06 / $690.95	Facility		$186.85	$443.06	$690.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $194.94 / $372.24 / $542.70	Facility		$194.94	$372.24	$542.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $191.70 / $443.06 / $784.99	Facility		$191.70	$443.06	$784.99
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 $1,533.00 / $8,090.00 / $12,786.00	Facility		$1,533.00	$8,090.00	$12,786.00