Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $624.44 / $2,747.00 / $7,920.26	Facility		$624.44	$2,747.00	$7,920.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,211.00 / $2,211.00 / $2,211.00	Facility		$2,211.00	$2,211.00	$2,211.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $576.28 / $683.17 / $809.83	Professional		$576.28	$683.17	$809.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $417.08 / $575.46 / $896.72	Facility		$417.08	$575.46	$896.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $475.78 / $614.80 / $661.96	Facility		$475.78	$614.80	$661.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $417.08 / $596.41 / $848.66	Facility		$417.08	$596.41	$848.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,747.90 / $1,747.90 / $1,747.90	Facility		$1,747.90	$1,747.90	$1,747.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00