Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $226.44 / $4,283.46 / $8,728.00	Facility		$226.44	$4,283.46	$8,728.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.02 / $225.02 / $1,937.44	Facility		$225.02	$225.02	$1,937.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.66 / $236.52 / $287.49	Professional		$190.66	$236.52	$287.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $125.61 / $204.28 / $311.35	Facility		$125.61	$204.28	$311.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $162.79 / $225.12 / $247.90	Facility		$162.79	$225.12	$247.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.79 / $224.20 / $332.07	Facility		$125.79	$224.20	$332.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $598.00 / $773.56 / $1,095.07	Facility		$598.00	$773.56	$1,095.07
United Facility/Professional Facility Modifier Low / Median / High Price $177.00 / $913.44 / $5,183.00	Facility		$177.00	$913.44	$5,183.00