Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $312.39 / $4,962.67 / $15,341.00	Facility		$312.39	$4,962.67	$15,341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $604.00 / $604.00 / $604.00	Facility		$604.00	$604.00	$604.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.29 / $326.70 / $654.83	Professional		$257.29	$326.70	$654.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $154.76 / $331.04 / $631.49	Facility		$154.76	$331.04	$631.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $259.68 / $493.22 / $569.50	Facility		$259.68	$493.22	$569.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $178.44 / $460.94 / $3,065.00	Facility		$178.44	$460.94	$3,065.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,454.55 / $6,944.43 / $8,747.84	Facility		$5,454.55	$6,944.43	$8,747.84
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