Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.82 / $988.00 / $7,920.26	Facility		$253.82	$988.00	$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 $476.22 / $595.04 / $816.51	Professional		$476.22	$595.04	$816.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $172.69 / $355.24 / $685.68	Facility		$172.69	$355.24	$685.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $243.21 / $469.00 / $732.98	Facility		$243.21	$469.00	$732.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $172.69 / $377.48 / $783.72	Facility		$172.69	$377.48	$783.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,859.35 / $10,847.34 / $13,475.61	Facility		$8,859.35	$10,847.34	$13,475.61
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $25,015.00	Facility		$2,155.00	$12,835.00	$25,015.00