Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $2,630.27 / $38,904.51	Facility		$467.74	$2,630.27	$38,904.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $707.95 / $1,047.13	Professional		$501.19	$707.95	$1,047.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $389.05 / $776.25	Facility		$218.78	$389.05	$776.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $588.84 / $891.25	Facility		$354.81	$588.84	$891.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $380.19 / $660.69	Facility		$213.80	$380.19	$660.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $54,954.09 / $74,131.02 / $89,125.09	Facility		$54,954.09	$74,131.02	$89,125.09
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $51,286.14 / $85,113.80	Facility		$4,265.80	$51,286.14	$85,113.80