Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $741.31 / $6,606.93	Facility		$186.21	$741.31	$6,606.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $1,949.84	Facility		$851.14	$851.14	$1,949.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $245.47 / $870.96	Professional		$162.18	$245.47	$870.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $331.13 / $691.83	Facility		$104.71	$331.13	$691.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $562.34 / $660.69	Facility		$398.11	$562.34	$660.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $309.03 / $676.08	Facility		$97.72	$309.03	$676.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,884.03 / $3,467.37	Facility		$2,137.96	$2,884.03	$3,467.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,818.38 / $4,897.79	Facility		$1,096.48	$2,818.38	$4,897.79