Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $726.04 / $4,962.67 / $15,341.00	Facility		$726.04	$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 $622.02 / $731.32 / $877.38	Professional		$622.02	$731.32	$877.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $409.48 / $554.91 / $765.85	Facility		$409.48	$554.91	$765.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $437.02 / $604.34 / $667.32	Facility		$437.02	$604.34	$667.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $421.95 / $625.08 / $2,919.00	Facility		$421.95	$625.08	$2,919.00
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 $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00