Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.54 / $4,962.67 / $15,341.00	Facility		$224.54	$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 $165.82 / $237.86 / $334.11	Professional		$165.82	$237.86	$334.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $123.52 / $211.38 / $337.29	Facility		$123.52	$211.38	$337.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $164.15 / $264.33 / $286.76	Facility		$164.15	$264.33	$286.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $130.99 / $251.49 / $3,065.00	Facility		$130.99	$251.49	$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 $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00