Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $5,623.41 / $8,511.38	Facility		$645.65	$5,623.41	$8,511.38
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 $346.74 / $478.63 / $602.56	Professional		$346.74	$478.63	$602.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $436.52 / $912.01	Facility		$251.19	$436.52	$912.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $501.19 / $602.56	Facility		$426.58	$501.19	$602.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $436.52 / $851.14	Facility		$245.47	$436.52	$851.14
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