Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,023.29 / $13,803.84	Facility		$776.25	$1,023.29	$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 $602.56 / $812.83 / $954.99	Professional		$602.56	$812.83	$954.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $588.84 / $1,174.90	Facility		$371.54	$588.84	$1,174.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $741.31 / $794.33	Facility		$616.60	$741.31	$794.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $645.65 / $912.01	Facility		$389.05	$645.65	$912.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $6,165.95 / $7,413.10	Facility		$4,897.79	$6,165.95	$7,413.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $9,120.11 / $12,882.50	Facility		$1,995.26	$9,120.11	$12,882.50