Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $615.27 / $2,747.00 / $7,920.26	Facility		$615.27	$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 $559.97 / $664.21 / $786.90	Professional		$559.97	$664.21	$786.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $410.95 / $580.95 / $776.90	Facility		$410.95	$580.95	$776.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $458.82 / $597.74 / $643.87	Facility		$458.82	$597.74	$643.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $410.95 / $598.66 / $817.77	Facility		$410.95	$598.66	$817.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,691.15 / $1,691.15 / $1,691.15	Facility		$1,691.15	$1,691.15	$1,691.15
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