Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $724.44 / $7,943.28	Facility		$575.44	$724.44	$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 $389.05 / $524.81 / $676.08	Professional		$389.05	$524.81	$676.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $371.54 / $724.44	Facility		$275.42	$371.54	$724.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $549.54 / $575.44	Facility		$467.74	$549.54	$575.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $389.05 / $707.95	Facility		$263.03	$389.05	$707.95
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