Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $812.83 / $7,943.28	Facility		$630.96	$812.83	$7,943.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $602.56 / $758.58	Professional		$457.09	$602.56	$758.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $457.09 / $5,011.87	Facility		$309.03	$457.09	$5,011.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $588.84 / $630.96	Facility		$489.78	$588.84	$630.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $446.68 / $707.95	Facility		$302.00	$446.68	$707.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $741.31 / $891.25	Facility		$562.34	$741.31	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,202.26 / $6,165.95	Facility		$389.05	$1,202.26	$6,165.95