Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $745.53 / $2,747.00 / $7,920.26	Facility		$745.53	$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 $590.03 / $774.77 / $941.04	Professional		$590.03	$774.77	$941.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $412.56 / $712.29 / $1,047.78	Facility		$412.56	$712.29	$1,047.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $539.25 / $718.77 / $759.78	Facility		$539.25	$718.77	$759.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $430.06 / $786.26 / $1,047.78	Facility		$430.06	$786.26	$1,047.78
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $145.05 / $145.05 / $145.05	Facility	80	$145.05	$145.05	$145.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,978.61 / $1,978.61 / $1,978.61	Facility		$1,978.61	$1,978.61	$1,978.61
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