Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $977.24 / $13,182.57	Facility		$436.52	$977.24	$13,182.57
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 $416.87 / $602.56 / $1,148.15	Professional		$416.87	$602.56	$1,148.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $467.74 / $954.99	Facility		$223.87	$467.74	$954.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $794.33 / $870.96	Facility		$512.86	$794.33	$870.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $446.68 / $912.01	Facility		$223.87	$446.68	$912.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $8,912.51 / $10,715.19	Facility		$5,370.32	$8,912.51	$10,715.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $9,549.93 / $12,882.50	Facility		$1,995.26	$9,549.93	$12,882.50