Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $779.42 / $7,920.26 / $20,400.00	Facility		$779.42	$7,920.26	$20,400.00
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 $666.34 / $783.74 / $940.26	Professional		$666.34	$783.74	$940.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $462.62 / $672.96 / $895.57	Facility		$462.62	$672.96	$895.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $473.36 / $654.59 / $714.22	Facility		$473.36	$654.59	$714.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $486.44 / $705.18 / $5,217.00	Facility		$486.44	$705.18	$5,217.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,820.30 / $4,901.89 / $6,365.28	Facility		$3,820.30	$4,901.89	$6,365.28
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