Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.94 / $2,747.00 / $7,920.26	Facility		$204.94	$2,747.00	$7,920.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $195.22 / $247.07 / $524.08	Professional		$195.22	$247.07	$524.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $128.81 / $262.64 / $490.05	Facility		$128.81	$262.64	$490.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $182.91 / $387.11 / $435.50	Facility		$182.91	$387.11	$435.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.81 / $312.86 / $706.30	Facility		$128.81	$312.86	$706.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,868.81 / $5,124.10 / $6,421.06	Facility		$3,868.81	$5,124.10	$6,421.06
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00