Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $491.58 / $2,903.00 / $8,785.85	Facility		$491.58	$2,903.00	$8,785.85
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 $474.10 / $602.34 / $761.50	Professional		$474.10	$602.34	$761.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $318.62 / $504.89 / $788.61	Facility		$318.62	$504.89	$788.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $377.88 / $546.72 / $635.16	Facility		$377.88	$546.72	$635.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $314.57 / $538.66 / $814.34	Facility		$314.57	$538.66	$814.34
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