Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.99 / $4,684.68 / $8,728.00	Facility		$110.99	$4,684.68	$8,728.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $256.17 / $256.17 / $1,664.70	Facility		$256.17	$256.17	$1,664.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $108.49 / $178.00 / $463.51	Professional		$108.49	$178.00	$463.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $72.20 / $175.86 / $391.53	Facility		$72.20	$175.86	$391.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $115.21 / $317.58 / $374.53	Facility		$115.21	$317.58	$374.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.20 / $183.77 / $455.30	Facility		$72.20	$183.77	$455.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,153.07 / $2,839.75 / $3,421.41	Facility		$2,153.07	$2,839.75	$3,421.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.00 / $2,261.00 / $4,911.00	Facility		$1,096.00	$2,261.00	$4,911.00