Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $870.96 / $6,606.93	Facility		$489.78	$870.96	$6,606.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $616.60 / $954.99	Professional		$426.58	$616.60	$954.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $436.52 / $812.83	Facility		$263.03	$436.52	$812.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $724.44 / $776.25	Facility		$501.19	$724.44	$776.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $436.52 / $776.25	Facility		$251.19	$436.52	$776.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $10,232.93 / $12,022.64	Facility		$7,413.10	$10,232.93	$12,022.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $5,495.41 / $12,302.69	Facility		$1,548.82	$5,495.41	$12,302.69