Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $725.93 / $2,659.00 / $7,920.26	Facility		$725.93	$2,659.00	$7,920.26
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 $679.40 / $795.79 / $954.72	Professional		$679.40	$795.79	$954.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $514.25 / $680.06 / $996.87	Facility		$514.25	$680.06	$996.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $503.88 / $691.44 / $739.68	Facility		$503.88	$691.44	$739.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $514.25 / $745.33 / $2,919.00	Facility		$514.25	$745.33	$2,919.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $21,418.17 / $26,781.36	Facility		$16,860.72	$21,418.17	$26,781.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00