Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.88 / $2,659.00 / $11,089.98	Facility		$354.88	$2,659.00	$11,089.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $608.73 / $758.34 / $999.73	Professional		$608.73	$758.34	$999.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $217.71 / $399.27 / $660.72	Facility		$217.71	$399.27	$660.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $297.02 / $507.86 / $889.09	Facility		$297.02	$507.86	$889.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $217.71 / $434.11 / $817.56	Facility		$217.71	$434.11	$817.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $54,340.97 / $73,520.14 / $86,036.51	Facility		$54,340.97	$73,520.14	$86,036.51
United Facility/Professional Facility Modifier Low / Median / High Price $4,252.00 / $37,152.00 / $65,339.00	Facility		$4,252.00	$37,152.00	$65,339.00