Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $697.40 / $4,962.67 / $15,341.00	Facility		$697.40	$4,962.67	$15,341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $580.91 / $680.45 / $816.34	Professional		$580.91	$680.45	$816.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $313.22 / $541.16 / $762.45	Facility		$313.22	$541.16	$762.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $398.25 / $597.64 / $632.48	Facility		$398.25	$597.64	$632.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $343.20 / $614.80 / $2,402.00	Facility		$343.20	$614.80	$2,402.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $46,206.43 / $57,880.41 / $70,632.23	Facility		$46,206.43	$57,880.41	$70,632.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00