Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.16 / $4,283.46 / $8,728.00	Facility		$146.16	$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 $128.21 / $186.36 / $715.32	Professional		$128.21	$186.36	$715.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $100.48 / $271.39 / $722.50	Facility		$100.48	$271.39	$722.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $156.75 / $507.86 / $583.57	Facility		$156.75	$507.86	$583.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.48 / $319.14 / $773.80	Facility		$100.48	$319.14	$773.80
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 / $2,261.00 / $4,911.00	Facility		$1,096.00	$2,261.00	$4,911.00