Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $2,884.03 / $7,943.28	Facility		$389.05	$2,884.03	$7,943.28
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 $302.00 / $398.11 / $478.63	Professional		$302.00	$398.11	$478.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $309.03 / $537.03	Facility		$194.98	$309.03	$537.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $380.19 / $398.11	Facility		$309.03	$380.19	$398.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $309.03 / $457.09	Facility		$199.53	$309.03	$457.09
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 $1,698.24 / $5,495.41 / $7,413.10	Facility		$1,698.24	$5,495.41	$7,413.10