Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $603.64 / $4,684.68 / $8,728.00	Facility		$603.64	$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 $510.92 / $599.85 / $717.97	Professional		$510.92	$599.85	$717.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $364.88 / $510.64 / $674.90	Facility		$364.88	$510.64	$674.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $378.37 / $517.91 / $544.71	Facility		$378.37	$517.91	$544.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $366.06 / $550.00 / $2,450.00	Facility		$366.06	$550.00	$2,450.00
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 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00