Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $812.83 / $6,606.93	Facility		$426.58	$812.83	$6,606.93
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 $537.03 / $691.83 / $812.83	Professional		$537.03	$691.83	$812.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $436.52 / $724.44	Facility		$295.12	$436.52	$724.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $549.54 / $602.56	Facility		$389.05	$549.54	$602.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $446.68 / $660.69	Facility		$295.12	$446.68	$660.69
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