Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $891.25 / $7,943.28	Facility		$691.83	$891.25	$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 $489.78 / $660.69 / $812.83	Professional		$489.78	$660.69	$812.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $562.34 / $912.01	Facility		$346.74	$562.34	$912.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $676.08 / $724.44	Facility		$588.84	$676.08	$724.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $562.34 / $851.14	Facility		$346.74	$562.34	$851.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Facility		$1,862.09	$1,862.09	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $4,073.80 / $6,165.95	Facility		$389.05	$4,073.80	$6,165.95