Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $1,479.11 / $7,943.28	Facility		$69.18	$1,479.11	$7,943.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $363.08	Facility		$154.88	$154.88	$363.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $72.44 / $95.50	Professional		$54.95	$72.44	$95.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $58.88 / $100.00	Facility		$38.02	$58.88	$100.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $77.62 / $79.43	Facility		$60.26	$77.62	$79.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $58.88 / $97.72	Facility		$37.15	$58.88	$97.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,258.93 / $1,584.89	Facility		$954.99	$1,258.93	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $1,659.59 / $5,128.61	Facility		$186.21	$1,659.59	$5,128.61