Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $648.40 / $4,962.67 / $15,341.00	Facility		$648.40	$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 $555.05 / $650.15 / $779.99	Professional		$555.05	$650.15	$779.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $397.88 / $579.60 / $810.83	Facility		$397.88	$579.60	$810.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $421.10 / $568.16 / $607.02	Facility		$421.10	$568.16	$607.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $397.88 / $641.63 / $2,919.00	Facility		$397.88	$641.63	$2,919.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,527.70 / $20,006.47 / $24,937.25	Facility		$15,527.70	$20,006.47	$24,937.25
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00