Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $365.49 / $4,684.68 / $8,728.00	Facility		$365.49	$4,684.68	$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 $308.95 / $361.90 / $434.17	Professional		$308.95	$361.90	$434.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $225.40 / $318.08 / $427.55	Facility		$225.40	$318.08	$427.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $240.31 / $325.39 / $339.69	Facility		$240.31	$325.39	$339.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $237.26 / $345.62 / $2,450.00	Facility		$237.26	$345.62	$2,450.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,434.23 / $9,638.43 / $12,117.15	Facility		$5,434.23	$9,638.43	$12,117.15
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