Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $640.87 / $2,747.00 / $7,920.26	Facility		$640.87	$2,747.00	$7,920.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $1,664.70	Facility		$1,664.70	$1,664.70	$1,664.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $505.07 / $663.20 / $805.52	Professional		$505.07	$663.20	$805.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $355.51 / $612.35 / $898.76	Facility		$355.51	$612.35	$898.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $464.64 / $615.26 / $650.57	Facility		$464.64	$615.26	$650.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $367.29 / $674.09 / $898.76	Facility		$367.29	$674.09	$898.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,700.03 / $1,700.03 / $1,700.03	Facility		$1,700.03	$1,700.03	$1,700.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,345.00 / $7,664.00 / $31,303.00	Facility		$1,345.00	$7,664.00	$31,303.00