Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $408.05 / $4,962.67 / $15,341.00	Facility		$408.05	$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 $350.19 / $410.29 / $492.23	Professional		$350.19	$410.29	$492.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $256.32 / $330.48 / $442.85	Facility		$256.32	$330.48	$442.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $252.35 / $345.77 / $375.87	Facility		$252.35	$345.77	$375.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $260.72 / $366.27 / $2,919.00	Facility		$260.72	$366.27	$2,919.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,820.30 / $4,901.89 / $6,016.60	Facility		$3,820.30	$4,901.89	$6,016.60
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