Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $4,786.30 / $8,511.38	Facility		$338.84	$4,786.30	$8,511.38
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 $257.04 / $346.74 / $426.58	Professional		$257.04	$346.74	$426.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $239.88 / $416.87	Facility		$165.96	$239.88	$416.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $323.59 / $346.74	Facility		$239.88	$323.59	$346.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $239.88 / $407.38	Facility		$162.18	$239.88	$407.38
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