Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,513.56 / $7,943.28	Facility		$380.19	$1,513.56	$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 $281.84 / $389.05 / $467.74	Professional		$281.84	$389.05	$467.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $281.84 / $478.63	Facility		$190.55	$281.84	$478.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $371.54 / $389.05	Facility		$275.42	$371.54	$389.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $281.84 / $467.74	Facility		$186.21	$281.84	$467.74
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