Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.16 / $2,747.00 / $7,920.26	Facility		$588.16	$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 $582.47 / $682.27 / $816.68	Professional		$582.47	$682.27	$816.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $397.77 / $555.91 / $777.50	Facility		$397.77	$555.91	$777.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $375.06 / $534.66 / $607.69	Facility		$375.06	$534.66	$607.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $393.12 / $555.91 / $769.72	Facility		$393.12	$555.91	$769.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $564.70 / $724.26 / $933.97	Facility		$564.70	$724.26	$933.97
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $1,078.00 / $6,216.00	Facility		$376.00	$1,078.00	$6,216.00