Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,691.53 / $8,709.64	Facility		$707.95	$2,691.53	$8,709.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $3,235.94	Facility		$2,290.87	$2,290.87	$3,235.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $645.65 / $831.76	Professional		$478.63	$645.65	$831.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $549.54 / $1,047.13	Facility		$338.84	$549.54	$1,047.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $676.08 / $741.31	Facility		$575.44	$676.08	$741.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $562.34 / $912.01	Facility		$331.13	$562.34	$912.01
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