Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $3,235.94 / $7,943.28	Facility		$851.14	$3,235.94	$7,943.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,949.84	Facility		$1,096.48	$1,096.48	$1,949.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $851.14 / $1,023.29	Professional		$630.96	$851.14	$1,023.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $575.44 / $1,023.29	Facility		$416.87	$575.44	$1,023.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $812.83 / $870.96	Facility		$588.84	$812.83	$870.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $575.44 / $977.24	Facility		$398.11	$575.44	$977.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $3,715.35 / $4,677.35	Facility		$2,818.38	$3,715.35	$4,677.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $4,897.79 / $7,244.36	Facility		$1,548.82	$4,897.79	$7,244.36