Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.22 / $4,704.00 / $8,728.00	Facility		$249.22	$4,704.00	$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 $180.35 / $236.82 / $288.73	Professional		$180.35	$236.82	$288.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $133.44 / $233.35 / $370.57	Facility		$133.44	$233.35	$370.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $164.25 / $219.72 / $267.89	Facility		$164.25	$219.72	$267.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $142.36 / $269.81 / $389.43	Facility		$142.36	$269.81	$389.43
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