Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,000.00 / $6,606.93	Facility		$501.19	$1,000.00	$6,606.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $676.08 / $1,174.90	Professional		$467.74	$676.08	$1,174.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $512.86 / $977.24	Facility		$263.03	$512.86	$977.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $831.76 / $891.25	Facility		$562.34	$831.76	$891.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $512.86 / $933.25	Facility		$257.04	$512.86	$933.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $8,912.51 / $10,715.19	Facility		$6,606.93	$8,912.51	$10,715.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $9,549.93 / $12,882.50	Facility		$1,995.26	$9,549.93	$12,882.50