Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $5,370.32 / $8,709.64	Facility		$467.74	$5,370.32	$8,709.64
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 $309.03 / $426.58 / $537.03	Professional		$309.03	$426.58	$537.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $363.08 / $660.69	Facility		$223.87	$363.08	$660.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $446.68 / $467.74	Facility		$380.19	$446.68	$467.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $363.08 / $602.56	Facility		$218.78	$363.08	$602.56
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