Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $891.25 / $6,606.93	Facility		$426.58	$891.25	$6,606.93
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 $389.05 / $562.34 / $933.25	Professional		$389.05	$562.34	$933.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $436.52 / $812.83	Facility		$223.87	$436.52	$812.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $676.08 / $724.44	Facility		$457.09	$676.08	$724.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $426.58 / $776.25	Facility		$218.78	$426.58	$776.25
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