Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.73 / $1,985.50 / $7,920.26	Facility		$67.73	$1,985.50	$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 $63.94 / $132.15 / $347.34	Professional		$63.94	$132.15	$347.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.78 / $141.83 / $271.77	Facility		$42.78	$141.83	$271.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $64.72 / $205.69 / $284.75	Facility		$64.72	$205.69	$284.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.78 / $154.56 / $367.27	Facility		$42.78	$154.56	$367.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $564.70 / $707.37 / $890.90	Facility		$564.70	$707.37	$890.90
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $847.05 / $1,061.06 / $1,336.35	Facility	50	$847.05	$1,061.06	$1,336.35
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $4,113.00 / $6,216.00	Facility		$376.00	$4,113.00	$6,216.00