Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $5,248.07 / $9,120.11	Facility		$489.78	$5,248.07	$9,120.11
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 $331.13 / $446.68 / $562.34	Professional		$331.13	$446.68	$562.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $380.19 / $707.95	Facility		$234.42	$380.19	$707.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $467.74 / $501.19	Facility		$398.11	$467.74	$501.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $380.19 / $630.96	Facility		$229.09	$380.19	$630.96
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