Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $809.60 / $2,747.00 / $7,920.26	Facility		$809.60	$2,747.00	$7,920.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $779.46 / $913.97 / $1,096.51	Professional		$779.46	$913.97	$1,096.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $520.98 / $717.84 / $969.00	Facility		$520.98	$717.84	$969.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $553.21 / $765.14 / $840.85	Facility		$553.21	$765.14	$840.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $537.04 / $796.24 / $2,450.00	Facility		$537.04	$796.24	$2,450.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,536.02 / $8,364.56 / $10,637.18	Facility		$6,536.02	$8,364.56	$10,637.18
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