Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $491.91 / $2,747.00 / $13,320.00	Facility		$491.91	$2,747.00	$13,320.00
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 $468.19 / $599.79 / $1,062.49	Professional		$468.19	$599.79	$1,062.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $306.87 / $596.09 / $957.83	Facility		$306.87	$596.09	$957.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $409.50 / $773.85 / $873.68	Facility		$409.50	$773.85	$873.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $306.87 / $633.61 / $1,154.22	Facility		$306.87	$633.61	$1,154.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,328.38 / $8,364.56 / $10,637.18	Facility		$5,328.38	$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