Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.18 / $3,688.87 / $8,728.00	Facility		$263.18	$3,688.87	$8,728.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $201.46 / $201.46 / $201.46	Facility		$201.46	$201.46	$201.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $240.84 / $305.70 / $624.19	Professional		$240.84	$305.70	$624.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $293.45 / $606.73	Facility		$140.00	$293.45	$606.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $239.86 / $476.37 / $517.24	Facility		$239.86	$476.37	$517.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $298.80 / $676.18	Facility		$140.00	$298.80	$676.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,918.96 / $2,651.89 / $3,171.06	Facility		$1,918.96	$2,651.89	$3,171.06
United Facility/Professional Facility Modifier Low / Median / High Price $1,486.00 / $2,385.00 / $4,911.00	Facility		$1,486.00	$2,385.00	$4,911.00