Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $766.43 / $4,684.68 / $8,728.00	Facility		$766.43	$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 $637.48 / $755.90 / $895.81	Professional		$637.48	$755.90	$895.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $487.46 / $667.82 / $878.04	Facility		$487.46	$667.82	$878.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $512.12 / $680.26 / $716.90	Facility		$512.12	$680.26	$716.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $487.46 / $685.86 / $914.73	Facility		$487.46	$685.86	$914.73
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $136.44 / $136.44 / $136.44	Facility	80	$136.44	$136.44	$136.44
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $115.98 / $115.98 / $115.98	Facility	AS	$115.98	$115.98	$115.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,877.46 / $1,877.46 / $1,877.46	Facility		$1,877.46	$1,877.46	$1,877.46
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