Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $561.78 / $2,747.00 / $7,920.26	Facility		$561.78	$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 $532.70 / $679.69 / $1,075.51	Professional		$532.70	$679.69	$1,075.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $356.90 / $623.04 / $998.66	Facility		$356.90	$623.04	$998.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $465.28 / $802.54 / $888.42	Facility		$465.28	$802.54	$888.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $356.90 / $654.66 / $1,202.34	Facility		$356.90	$654.66	$1,202.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,536.02 / $8,364.56 / $10,637.18	Facility		$6,536.02	$8,364.56	$10,637.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00