Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,122.02 / $7,943.28	Facility		$851.14	$1,122.02	$7,943.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,398.83	Facility		$2,290.87	$2,290.87	$2,398.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $794.33 / $1,047.13	Professional		$588.84	$794.33	$1,047.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $616.60 / $1,047.13	Facility		$416.87	$616.60	$1,047.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $831.76 / $870.96	Facility		$630.96	$831.76	$870.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $616.60 / $1,023.29	Facility		$389.05	$616.60	$1,023.29
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 $1,621.81 / $9,549.93 / $12,882.50	Facility		$1,621.81	$9,549.93	$12,882.50