Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $588.84 / $6,606.93	Facility		$204.17	$588.84	$6,606.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,949.84	Facility		$1,479.11	$1,479.11	$1,949.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $263.03 / $660.69	Professional		$173.78	$263.03	$660.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $281.84 / $588.84	Facility		$112.20	$281.84	$588.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $478.63 / $524.81	Facility		$323.59	$478.63	$524.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $269.15 / $588.84	Facility		$107.15	$269.15	$588.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $6,025.60 / $7,244.36	Facility		$4,365.16	$6,025.60	$7,244.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $5,495.41 / $7,413.10	Facility		$1,548.82	$5,495.41	$7,413.10