Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.25 / $2,747.00 / $7,920.26	Facility		$218.25	$2,747.00	$7,920.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.00 / $78.00 / $78.00	Facility		$78.00	$78.00	$78.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $195.16 / $251.15 / $293.95	Professional		$195.16	$251.15	$293.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $124.80 / $194.54 / $258.30	Facility		$124.80	$194.54	$258.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $142.71 / $201.00 / $237.85	Facility		$142.71	$201.00	$237.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.23 / $194.54 / $279.70	Facility		$123.23	$194.54	$279.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $861.54 / $1,116.86 / $1,502.14	Facility		$861.54	$1,116.86	$1,502.14
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $1,498.71 / $6,216.00	Facility		$376.00	$1,498.71	$6,216.00