Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.25 / $2,747.00 / $7,920.26	Facility		$181.25	$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 $167.41 / $211.50 / $548.50	Professional		$167.41	$211.50	$548.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $110.27 / $237.08 / $465.30	Facility		$110.27	$237.08	$465.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $160.80 / $366.11 / $457.61	Facility		$160.80	$366.11	$457.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $110.27 / $317.86 / $598.10	Facility		$110.27	$317.86	$598.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,722.06 / $2,201.77 / $2,738.85	Facility		$1,722.06	$2,201.77	$2,738.85
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $2,583.09 / $3,302.66 / $4,108.28	Facility	50	$2,583.09	$3,302.66	$4,108.28
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