Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $737.02 / $4,684.68 / $7,920.26	Facility		$737.02	$4,684.68	$7,920.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $552.14 / $647.52 / $775.89	Professional		$552.14	$647.52	$775.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $491.53 / $643.87 / $903.55	Facility		$491.53	$643.87	$903.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $499.31 / $609.03 / $735.76	Facility		$499.31	$609.03	$735.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $499.61 / $714.44 / $1,794.00	Facility		$499.61	$714.44	$1,794.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,859.35 / $10,847.34 / $13,475.61	Facility		$8,859.35	$10,847.34	$13,475.61
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00