Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.58 / $2,747.00 / $7,920.26	Facility		$119.58	$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 $134.93 / $162.91 / $189.61	Professional		$134.93	$162.91	$189.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $78.97 / $160.50 / $259.88	Facility		$78.97	$160.50	$259.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $105.99 / $142.88 / $159.82	Facility		$105.99	$142.88	$159.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $78.97 / $163.96 / $272.26	Facility		$78.97	$163.96	$272.26
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 / $2,706.24 / $7,480.00	Facility		$1,106.00	$2,706.24	$7,480.00