Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $790.08 / $4,962.67 / $7,920.26	Facility		$790.08	$4,962.67	$7,920.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $750.26 / $890.08 / $1,067.83	Professional		$750.26	$890.08	$1,067.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $474.03 / $665.46 / $871.25	Facility		$474.03	$665.46	$871.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $489.35 / $676.70 / $793.95	Facility		$489.35	$676.70	$793.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $479.46 / $726.37 / $2,919.00	Facility		$479.46	$726.37	$2,919.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $10,171.54 / $12,117.15	Facility		$7,715.78	$10,171.54	$12,117.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00