Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $2,238.72 / $13,803.84	Facility		$346.74	$2,238.72	$13,803.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,398.83	Facility		$2,041.74	$2,041.74	$2,398.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $446.68 / $575.44	Professional		$323.59	$446.68	$575.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $331.13 / $575.44	Facility		$223.87	$331.13	$575.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $436.52 / $467.74	Facility		$331.13	$436.52	$467.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $331.13 / $549.54	Facility		$218.78	$331.13	$549.54
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