Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.43 / $4,684.68 / $8,728.00	Facility		$238.43	$4,684.68	$8,728.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $451.00 / $451.00 / $451.00	Facility		$451.00	$451.00	$451.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $198.70 / $261.49 / $611.22	Professional		$198.70	$261.49	$611.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $127.60 / $270.27 / $581.83	Facility		$127.60	$270.27	$581.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $193.23 / $452.25 / $522.60	Facility		$193.23	$452.25	$522.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $137.72 / $417.11 / $2,573.00	Facility		$137.72	$417.11	$2,573.00
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