Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,047.13 / $7,943.28	Facility		$575.44	$1,047.13	$7,943.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,000.00 / $1,202.26	Professional		$794.33	$1,000.00	$1,202.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $630.96 / $1,023.29	Facility		$426.58	$630.96	$1,023.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $812.83 / $912.01	Facility		$602.56	$812.83	$912.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $645.65 / $954.99	Facility		$416.87	$645.65	$954.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $5,011.87 / $6,025.60	Facility		$3,801.89	$5,011.87	$6,025.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,715.35 / $7,413.10	Facility		$1,096.48	$3,715.35	$7,413.10