Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $499.49 / $2,747.00 / $7,920.26	Facility		$499.49	$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 $453.81 / $538.65 / $637.72	Professional		$453.81	$538.65	$637.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $333.79 / $470.81 / $624.75	Facility		$333.79	$470.81	$624.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $364.33 / $484.75 / $519.25	Facility		$364.33	$484.75	$519.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $333.79 / $479.46 / $659.88	Facility		$333.79	$479.46	$659.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,346.85 / $1,346.85 / $1,346.85	Facility		$1,346.85	$1,346.85	$1,346.85
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00