Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.77 / $1,995.00 / $13,320.00	Facility		$309.77	$1,995.00	$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 $298.77 / $438.96 / $697.57	Professional		$298.77	$438.96	$697.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $224.89 / $380.88 / $632.92	Facility		$224.89	$380.88	$632.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $298.20 / $475.70 / $579.54	Facility		$298.20	$475.70	$579.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $231.77 / $430.56 / $747.81	Facility		$231.77	$430.56	$747.81
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