Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $4,786.30 / $13,803.84	Facility		$741.31	$4,786.30	$13,803.84
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 $588.84 / $776.25 / $912.01	Professional		$588.84	$776.25	$912.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $645.65 / $1,122.02	Facility		$371.54	$645.65	$1,122.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $724.44 / $758.58	Facility		$616.60	$724.44	$758.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $630.96 / $891.25	Facility		$380.19	$630.96	$891.25
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 $1,995.26 / $10,000.00 / $14,125.38	Facility		$1,995.26	$10,000.00	$14,125.38