Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $6,918.31 / $13,803.84	Facility		$549.54	$6,918.31	$13,803.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $512.86 / $645.65	Professional		$389.05	$512.86	$645.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $537.03 / $1,023.29	Facility		$269.15	$537.03	$1,023.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $524.81 / $616.60	Facility		$446.68	$524.81	$616.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $524.81 / $954.99	Facility		$275.42	$524.81	$954.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $22,387.21 / $28,183.83	Facility		$16,982.44	$22,387.21	$28,183.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $13,182.57 / $31,622.78	Facility		$2,137.96	$13,182.57	$31,622.78