Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $340.12 / $2,965.24 / $7,920.26	Facility		$340.12	$2,965.24	$7,920.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $316.54 / $395.80 / $634.57	Professional		$316.54	$395.80	$634.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $208.82 / $378.72 / $600.91	Facility		$208.82	$378.72	$600.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $304.18 / $473.69 / $528.63	Facility		$304.18	$473.69	$528.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $208.82 / $378.72 / $667.36	Facility		$208.82	$378.72	$667.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,719.37 / $2,217.60 / $2,786.49	Facility		$1,719.37	$2,217.60	$2,786.49
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00