Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.92 / $2,747.00 / $7,920.26	Facility		$189.92	$2,747.00	$7,920.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $176.39 / $218.58 / $330.60	Professional		$176.39	$218.58	$330.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $115.88 / $200.58 / $366.35	Facility		$115.88	$200.58	$366.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $166.45 / $255.31 / $292.12	Facility		$166.45	$255.31	$292.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $115.88 / $200.58 / $366.35	Facility		$115.88	$200.58	$366.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,265.38 / $2,911.98 / $3,412.14	Facility		$2,265.38	$2,911.98	$3,412.14
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