Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $389.05 / $7,943.28	Facility		$309.03	$389.05	$7,943.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $7,244.36	Facility		$2,041.74	$2,041.74	$7,244.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $281.84 / $354.81	Professional		$208.93	$281.84	$354.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $194.98 / $389.05	Facility		$151.36	$194.98	$389.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $295.12 / $302.00	Facility		$251.19	$295.12	$302.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $208.93 / $363.08	Facility		$141.25	$208.93	$363.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $17,782.79 / $21,877.62	Facility		$13,489.63	$17,782.79	$21,877.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $5,495.41 / $22,908.68	Facility		$1,548.82	$5,495.41	$22,908.68