Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $301.81 / $3,213.00 / $8,728.00	Facility		$301.81	$3,213.00	$8,728.00
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 $294.27 / $345.97 / $415.06	Professional		$294.27	$345.97	$415.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $206.23 / $274.32 / $369.75	Facility		$206.23	$274.32	$369.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $209.79 / $289.83 / $314.89	Facility		$209.79	$289.83	$314.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $209.83 / $305.14 / $2,450.00	Facility		$209.83	$305.14	$2,450.00
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
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $5,730.45 / $7,352.85 / $9,024.90	Facility	50	$5,730.45	$7,352.85	$9,024.90
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