Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,047.13 / $7,943.28	Facility		$758.58	$1,047.13	$7,943.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $851.14 / $977.24	Professional		$630.96	$851.14	$977.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $645.65 / $1,071.52	Facility		$389.05	$645.65	$1,071.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $758.58 / $812.83	Facility		$645.65	$758.58	$812.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $676.08 / $954.99	Facility		$407.38	$676.08	$954.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $10,232.93 / $12,302.69	Facility		$7,762.47	$10,232.93	$12,302.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,000.00 / $14,125.38	Facility		$1,995.26	$10,000.00	$14,125.38