Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $822.15 / $4,962.67 / $15,341.00	Facility		$822.15	$4,962.67	$15,341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $712.78 / $838.73 / $1,006.23	Professional		$712.78	$838.73	$1,006.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $486.70 / $705.77 / $917.98	Facility		$486.70	$705.77	$917.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $499.04 / $688.76 / $755.76	Facility		$499.04	$688.76	$755.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $511.01 / $742.39 / $2,919.00	Facility		$511.01	$742.39	$2,919.00
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