Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.15 / $7,920.26 / $20,400.00	Facility		$755.15	$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 $659.50 / $772.49 / $926.76	Professional		$659.50	$772.49	$926.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $456.86 / $665.16 / $871.25	Facility		$456.86	$665.16	$871.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $488.38 / $661.29 / $704.84	Facility		$488.38	$661.29	$704.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $480.90 / $713.14 / $5,217.00	Facility		$480.90	$713.14	$5,217.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,364.17 / $9,638.43 / $12,117.15	Facility		$6,364.17	$9,638.43	$12,117.15
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