Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.68 / $4,684.68 / $8,728.00	Facility		$298.68	$4,684.68	$8,728.00
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 $250.05 / $296.43 / $351.38	Professional		$250.05	$296.43	$351.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $188.92 / $259.42 / $340.00	Facility		$188.92	$259.42	$340.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $199.61 / $266.77 / $282.07	Facility		$199.61	$266.77	$282.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $188.92 / $264.49 / $360.40	Facility		$188.92	$264.49	$360.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $734.66 / $734.66 / $734.66	Facility		$734.66	$734.66	$734.66
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00