Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $811.09 / $2,747.00 / $7,920.26	Facility		$811.09	$2,747.00	$7,920.26
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 $776.81 / $911.61 / $1,093.68	Professional		$776.81	$911.61	$1,093.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $541.38 / $732.96 / $976.65	Facility		$541.38	$732.96	$976.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $556.21 / $766.89 / $834.82	Facility		$556.21	$766.89	$834.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $550.15 / $801.24 / $2,919.00	Facility		$550.15	$801.24	$2,919.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,846.16 / $6,142.31 / $7,227.91	Facility		$4,846.16	$6,142.31	$7,227.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,113.00	Facility		$1,981.00	$9,074.00	$12,113.00