Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $432.78 / $4,684.68 / $8,728.00	Facility		$432.78	$4,684.68	$8,728.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,059.63 / $2,059.63 / $2,406.86	Facility		$2,059.63	$2,059.63	$2,406.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $312.57 / $410.44 / $501.57	Professional		$312.57	$410.44	$501.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $202.21 / $318.02 / $642.12	Facility		$202.21	$318.02	$642.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $282.45 / $380.77 / $392.36	Facility		$282.45	$380.77	$392.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $212.75 / $427.08 / $642.12	Facility		$212.75	$427.08	$642.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,730.83 / $8,780.14 / $10,511.02	Facility		$3,730.83	$8,780.14	$10,511.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,472.00 / $4,880.00 / $7,233.00	Facility		$1,472.00	$4,880.00	$7,233.00