Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $513.45 / $4,962.67 / $15,341.00	Facility		$513.45	$4,962.67	$15,341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $425.45 / $504.63 / $597.87	Professional		$425.45	$504.63	$597.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $256.19 / $436.50 / $583.95	Facility		$256.19	$436.50	$583.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $323.55 / $454.15 / $484.16	Facility		$323.55	$454.15	$484.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $273.56 / $436.97 / $619.54	Facility		$273.56	$436.97	$619.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,820.30 / $4,901.89 / $6,016.60	Facility		$3,820.30	$4,901.89	$6,016.60
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