Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $630.96 / $6,606.93	Facility		$208.93	$630.96	$6,606.93
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 $181.97 / $269.15 / $741.31	Professional		$181.97	$269.15	$741.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $309.03 / $602.56	Facility		$114.82	$309.03	$602.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $501.19 / $562.34	Facility		$346.74	$501.19	$562.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $281.84 / $588.84	Facility		$104.71	$281.84	$588.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $3,715.35 / $4,466.84	Facility		$2,818.38	$3,715.35	$4,466.84
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