Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.48 / $2,747.00 / $7,920.26	Facility		$172.48	$2,747.00	$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 $137.96 / $166.64 / $193.86	Professional		$137.96	$166.64	$193.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $86.09 / $160.18 / $262.69	Facility		$86.09	$160.18	$262.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $109.50 / $146.22 / $161.84	Facility		$109.50	$146.22	$161.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $86.09 / $162.53 / $269.38	Facility		$86.09	$162.53	$269.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,265.38 / $2,911.98 / $3,609.89	Facility		$2,265.38	$2,911.98	$3,609.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00