Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $602.56 / $6,606.93	Facility		$173.78	$602.56	$6,606.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $275.42 / $691.83	Professional		$158.49	$275.42	$691.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $234.42 / $602.56	Facility		$89.13	$234.42	$602.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $478.63 / $537.03	Facility		$331.13	$478.63	$537.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $218.78 / $575.44	Facility		$89.13	$218.78	$575.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,238.72 / $2,691.53	Facility		$1,737.80	$2,238.72	$2,691.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,951.21 / $7,413.10	Facility		$1,096.48	$2,951.21	$7,413.10