Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.31 / $3,060.00 / $7,920.26	Facility		$195.31	$3,060.00	$7,920.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.71 / $842.71 / $1,937.44	Facility		$842.71	$842.71	$1,937.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $168.21 / $245.64 / $758.30	Professional		$168.21	$245.64	$758.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $133.82 / $337.50 / $853.40	Facility		$133.82	$337.50	$853.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $240.39 / $567.00 / $661.55	Facility		$240.39	$567.00	$661.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $133.82 / $489.90 / $984.84	Facility		$133.82	$489.90	$984.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,153.07 / $2,975.12 / $3,619.70	Facility		$2,153.07	$2,975.12	$3,619.70
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