Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $322.86 / $2,747.00 / $7,920.26	Facility		$322.86	$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 $251.94 / $330.82 / $401.69	Professional		$251.94	$330.82	$401.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $181.82 / $298.08 / $449.84	Facility		$181.82	$298.08	$449.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $233.04 / $306.92 / $324.95	Facility		$233.04	$306.92	$324.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $185.66 / $333.13 / $449.84	Facility		$185.66	$333.13	$449.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $855.34 / $855.34 / $855.34	Facility		$855.34	$855.34	$855.34
United Facility/Professional Facility Modifier Low / Median / High Price $177.00 / $1,078.00 / $5,183.00	Facility		$177.00	$1,078.00	$5,183.00