Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $5,128.61 / $7,943.28	Facility		$645.65	$5,128.61	$7,943.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Facility		$2,290.87	$2,290.87	$2,290.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $588.84 / $741.31	Professional		$426.58	$588.84	$741.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $478.63 / $794.33	Facility		$309.03	$478.63	$794.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $616.60 / $645.65	Facility		$524.81	$616.60	$645.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $489.78 / $794.33	Facility		$295.12	$489.78	$794.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $11,748.98 / $14,454.40	Facility		$8,511.38	$11,748.98	$14,454.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $9,549.93 / $14,454.40	Facility		$1,621.81	$9,549.93	$14,454.40