Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $794.33 / $7,943.28	Facility		$630.96	$794.33	$7,943.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $588.84 / $741.31	Professional		$446.68	$588.84	$741.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $512.86 / $812.83	Facility		$316.23	$512.86	$812.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $616.60 / $645.65	Facility		$512.86	$616.60	$645.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $512.86 / $776.25	Facility		$323.59	$512.86	$776.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility		$1,698.24	$1,698.24	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $20,892.96 / $26,302.68	Facility		$3,019.95	$20,892.96	$26,302.68