Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $912.01 / $13,803.84	Facility		$676.08	$912.01	$13,803.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $724.44 / $851.14	Professional		$549.54	$724.44	$851.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $512.86 / $831.76	Facility		$338.84	$512.86	$831.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $645.65 / $691.83	Facility		$512.86	$645.65	$691.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $512.86 / $758.58	Facility		$346.74	$512.86	$758.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $10,232.93 / $12,302.69	Facility		$7,762.47	$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