Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $489.78 / $7,943.28	Facility		$186.21	$489.78	$7,943.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $245.47 / $588.84	Professional		$169.82	$245.47	$588.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $223.87 / $478.63	Facility		$100.00	$223.87	$478.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $398.11 / $436.52	Facility		$269.15	$398.11	$436.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $218.78 / $467.74	Facility		$100.00	$218.78	$467.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $5,128.61 / $6,456.54	Facility		$3,890.45	$5,128.61	$6,456.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,495.41 / $7,413.10	Facility		$1,698.24	$5,495.41	$7,413.10