Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $870.96 / $7,943.28	Facility		$645.65	$870.96	$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 $512.86 / $676.08 / $812.83	Professional		$512.86	$676.08	$812.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $489.78 / $794.33	Facility		$323.59	$489.78	$794.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $616.60 / $660.69	Facility		$489.78	$616.60	$660.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $489.78 / $707.95	Facility		$331.13	$489.78	$707.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $5,011.87 / $6,165.95	Facility		$3,801.89	$5,011.87	$6,165.95
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