Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $701.63 / $4,962.67 / $15,341.00	Facility		$701.63	$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 $672.72 / $791.07 / $949.06	Professional		$672.72	$791.07	$949.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $462.93 / $630.72 / $846.60	Facility		$462.93	$630.72	$846.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $480.14 / $663.50 / $719.58	Facility		$480.14	$663.50	$719.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $475.23 / $700.60 / $2,919.00	Facility		$475.23	$700.60	$2,919.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,868.81 / $5,124.10 / $6,421.06	Facility		$3,868.81	$5,124.10	$6,421.06
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