Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $323.59 / $6,606.93	Facility		$173.78	$323.59	$6,606.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $251.19 / $363.08	Professional		$190.55	$251.19	$363.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $169.82 / $281.84	Facility		$100.00	$169.82	$281.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $223.87 / $257.04	Facility		$162.18	$223.87	$257.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $165.96 / $263.03	Facility		$97.72	$165.96	$263.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $741.31 / $891.25	Facility		$562.34	$741.31	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,202.26 / $6,165.95	Facility		$389.05	$1,202.26	$6,165.95