Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $389.05 / $7,943.28	Facility		$316.23	$389.05	$7,943.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $2,290.87	Facility		$1,479.11	$1,479.11	$2,290.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $288.40 / $363.08	Professional		$208.93	$288.40	$363.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $251.19 / $512.86	Facility		$151.36	$251.19	$512.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $309.03 / $630.96	Facility		$251.19	$309.03	$630.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $251.19 / $489.78	Facility		$147.91	$251.19	$489.78
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