Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $463.86 / $4,962.67 / $15,341.00	Facility		$463.86	$4,962.67	$15,341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.71 / $213.71 / $2,310.00	Facility		$213.71	$213.71	$2,310.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $397.08 / $545.76 / $796.75	Professional		$397.08	$545.76	$796.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $306.08 / $514.83 / $792.20	Facility		$306.08	$514.83	$792.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $363.89 / $599.53 / $657.94	Facility		$363.89	$599.53	$657.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $306.08 / $516.29 / $888.58	Facility		$306.08	$516.29	$888.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $566.94 / $759.06 / $1,430.20	Facility		$566.94	$759.06	$1,430.20
United Facility/Professional Facility Modifier Low / Median / High Price $177.00 / $1,078.00 / $5,183.00	Facility		$177.00	$1,078.00	$5,183.00