Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $539.07 / $4,283.46 / $8,728.00	Facility		$539.07	$4,283.46	$8,728.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $458.33 / $458.33 / $1,664.70	Facility		$458.33	$458.33	$1,664.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $480.23 / $664.77 / $969.94	Professional		$480.23	$664.77	$969.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $346.28 / $608.30 / $957.10	Facility		$346.28	$608.30	$957.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $418.24 / $704.60 / $772.51	Facility		$418.24	$704.60	$772.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $346.28 / $622.13 / $981.67	Facility		$346.28	$622.13	$981.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,382.73 / $9,721.75 / $12,052.68	Facility		$7,382.73	$9,721.75	$12,052.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,472.00 / $4,880.00 / $7,233.00	Facility		$1,472.00	$4,880.00	$7,233.00