Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.13 / $4,962.67 / $15,341.00	Facility		$255.13	$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 $194.25 / $285.32 / $317.02	Professional		$194.25	$285.32	$317.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $147.09 / $245.69 / $445.97	Facility		$147.09	$245.69	$445.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $191.57 / $263.83 / $409.37	Facility		$191.57	$263.83	$409.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $172.22 / $311.56 / $4,681.00	Facility		$172.22	$311.56	$4,681.00
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