Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $474.36 / $2,747.00 / $7,920.26	Facility		$474.36	$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 $450.37 / $574.01 / $876.52	Professional		$450.37	$574.01	$876.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $302.69 / $523.60 / $808.54	Facility		$302.69	$523.60	$808.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $397.05 / $655.37 / $726.28	Facility		$397.05	$655.37	$726.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $302.69 / $536.95 / $969.10	Facility		$302.69	$536.95	$969.10
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