Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $566.88 / $4,684.68 / $8,728.00	Facility		$566.88	$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 $253.90 / $536.04 / $595.60	Professional		$253.90	$536.04	$595.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $266.11 / $414.37 / $756.22	Facility		$266.11	$414.37	$756.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $364.34 / $498.81 / $536.66	Facility		$364.34	$498.81	$536.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $313.07 / $601.45 / $3,023.00	Facility		$313.07	$601.45	$3,023.00
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 / $8,762.09 / $12,786.00	Facility		$1,981.00	$8,762.09	$12,786.00