Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $675.87 / $4,684.68 / $8,728.00	Facility		$675.87	$4,684.68	$8,728.00
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 $585.32 / $685.60 / $822.52	Professional		$585.32	$685.60	$822.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $403.37 / $539.52 / $777.75	Facility		$403.37	$539.52	$777.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $413.07 / $594.55 / $656.60	Facility		$413.07	$594.55	$656.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $409.26 / $606.98 / $1,794.00	Facility		$409.26	$606.98	$1,794.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $31,944.49 / $46,009.31 / $61,906.83	Facility		$31,944.49	$46,009.31	$61,906.83
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $26,100.00 / $51,981.00	Facility		$3,340.00	$26,100.00	$51,981.00