Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.32 / $2,747.00 / $7,920.26	Facility		$192.32	$2,747.00	$7,920.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $184.80 / $243.60 / $639.22	Professional		$184.80	$243.60	$639.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $116.44 / $263.52 / $598.21	Facility		$116.44	$263.52	$598.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $175.54 / $469.32 / $533.32	Facility		$175.54	$469.32	$533.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $121.47 / $340.41 / $644.80	Facility		$121.47	$340.41	$644.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,719.37 / $2,217.60 / $2,633.84	Facility		$1,719.37	$2,217.60	$2,633.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00