Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,202.26 / $6,606.93	Facility		$812.83	$1,202.26	$6,606.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Facility		$1,949.84	$1,949.84	$1,949.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $954.99 / $1,288.25	Professional		$707.95	$954.99	$1,288.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $645.65 / $1,148.15	Facility		$416.87	$645.65	$1,148.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $977.24 / $1,047.13	Facility		$707.95	$977.24	$1,047.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $645.65 / $1,096.48	Facility		$407.38	$645.65	$1,096.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $4,786.30 / $5,754.40	Facility		$3,548.13	$4,786.30	$5,754.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $5,128.61 / $7,413.10	Facility		$1,548.82	$5,128.61	$7,413.10