Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,122.02 / $7,943.28	Facility		$851.14	$1,122.02	$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 $660.69 / $870.96 / $1,023.29	Professional		$660.69	$870.96	$1,023.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $660.69 / $1,047.13	Facility		$416.87	$660.69	$1,047.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $812.83 / $851.14	Facility		$676.08	$812.83	$851.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $645.65 / $933.25	Facility		$426.58	$645.65	$933.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $10,232.93 / $12,302.69	Facility		$6,309.57	$10,232.93	$12,302.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,754.40 / $14,125.38	Facility		$1,698.24	$5,754.40	$14,125.38