Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.03 / $4,283.46 / $8,728.00	Facility		$204.03	$4,283.46	$8,728.00
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 $177.61 / $259.13 / $799.76	Professional		$177.61	$259.13	$799.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $140.86 / $322.56 / $833.04	Facility		$140.86	$322.56	$833.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $198.72 / $558.11 / $658.61	Facility		$198.72	$558.11	$658.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $140.86 / $411.07 / $907.14	Facility		$140.86	$411.07	$907.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,153.07 / $2,839.75 / $3,421.41	Facility		$2,153.07	$2,839.75	$3,421.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.00 / $2,385.00 / $4,911.00	Facility		$1,096.00	$2,385.00	$4,911.00