Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.51 / $5,649.00 / $15,341.00	Facility		$230.51	$5,649.00	$15,341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $866.68 / $866.68 / $1,937.44	Facility		$866.68	$866.68	$1,937.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $219.43 / $266.43	Professional		$170.00	$219.43	$266.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.65 / $190.00 / $340.41	Facility		$112.65	$190.00	$340.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $152.62 / $203.56 / $213.06	Facility		$152.62	$203.56	$213.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.92 / $231.11 / $340.41	Facility		$120.92	$231.11	$340.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,215.19 / $2,820.85 / $3,393.44	Facility		$2,215.19	$2,820.85	$3,393.44
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