Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $417.34 / $4,962.67 / $15,341.00	Facility		$417.34	$4,962.67	$15,341.00
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 $356.41 / $419.89 / $500.84	Professional		$356.41	$419.89	$500.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $250.50 / $347.07 / $463.32	Facility		$250.50	$347.07	$463.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $271.80 / $372.52 / $392.62	Facility		$271.80	$372.52	$392.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $250.50 / $380.24 / $2,919.00	Facility		$250.50	$380.24	$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 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00