Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $338.84 / $7,943.28	Facility		$204.17	$338.84	$7,943.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $257.04 / $316.23	Professional		$186.21	$257.04	$316.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $204.17 / $338.84	Facility		$138.04	$204.17	$338.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $263.03 / $281.84	Facility		$229.09	$263.03	$281.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $208.93 / $338.84	Facility		$131.83	$208.93	$338.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $7,585.78 / $31,622.78	Facility		$1,412.54	$7,585.78	$31,622.78