Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $695.09 / $4,684.68 / $8,728.00	Facility		$695.09	$4,684.68	$8,728.00
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 $583.19 / $684.90 / $819.54	Professional		$583.19	$684.90	$819.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $435.91 / $554.69 / $954.84	Facility		$435.91	$554.69	$954.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $389.42 / $584.25 / $636.50	Facility		$389.42	$584.25	$636.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $435.91 / $607.20 / $842.00	Facility		$435.91	$607.20	$842.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $564.70 / $724.26 / $933.97	Facility		$564.70	$724.26	$933.97
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00