Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.33 / $2,747.00 / $7,920.26	Facility		$346.33	$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 $309.52 / $367.64 / $434.95	Professional		$309.52	$367.64	$434.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $231.61 / $321.16 / $428.49	Facility		$231.61	$321.16	$428.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $250.97 / $330.85 / $354.96	Facility		$250.97	$330.85	$354.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $231.61 / $329.82 / $448.79	Facility		$231.61	$329.82	$448.79
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $57.12 / $57.12 / $57.12	Facility	AS	$57.12	$57.12	$57.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $915.66 / $915.66 / $915.66	Facility		$915.66	$915.66	$915.66
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $8,571.00 / $36,803.00	Facility		$2,364.00	$8,571.00	$36,803.00