Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $565.69 / $2,747.00 / $7,920.26	Facility		$565.69	$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 $515.94 / $611.67 / $725.03	Professional		$515.94	$611.67	$725.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $362.86 / $525.30 / $705.50	Facility		$362.86	$525.30	$705.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $415.22 / $550.48 / $588.26	Facility		$415.22	$550.48	$588.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $362.86 / $526.47 / $753.41	Facility		$362.86	$526.47	$753.41
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $94.57 / $94.57 / $94.57	Facility	AS	$94.57	$94.57	$94.57
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,524.33 / $1,524.33 / $1,524.33	Facility		$1,524.33	$1,524.33	$1,524.33
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