Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $3,235.94 / $7,943.28	Facility		$338.84	$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 $229.09 / $316.23 / $398.11	Professional		$229.09	$316.23	$398.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $269.15 / $501.19	Facility		$165.96	$269.15	$501.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $323.59 / $416.87	Facility		$275.42	$323.59	$416.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $281.84 / $489.78	Facility		$162.18	$281.84	$489.78
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