Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.19 / $2,747.00 / $7,920.26	Facility		$123.19	$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 $128.96 / $155.75 / $181.22	Professional		$128.96	$155.75	$181.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $81.31 / $144.44 / $245.41	Facility		$81.31	$144.44	$245.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $98.84 / $136.01 / $142.71	Facility		$98.84	$136.01	$142.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.31 / $148.87 / $245.41	Facility		$81.31	$148.87	$245.41
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
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $3,398.07 / $4,367.97 / $5,414.84	Facility	50	$3,398.07	$4,367.97	$5,414.84
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