Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.53 / $2,854.50 / $7,920.26	Facility		$389.53	$2,854.50	$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 $370.60 / $434.09 / $520.78	Professional		$370.60	$434.09	$520.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $261.76 / $359.60 / $478.55	Facility		$261.76	$359.60	$478.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $272.77 / $370.73 / $399.32	Facility		$272.77	$370.73	$399.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $275.54 / $394.02 / $2,450.00	Facility		$275.54	$394.02	$2,450.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,820.30 / $4,901.89 / $6,016.60	Facility		$3,820.30	$4,901.89	$6,016.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00