Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $831.76 / $7,943.28	Facility		$512.86	$831.76	$7,943.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $630.96 / $794.33	Professional		$457.09	$630.96	$794.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $512.86 / $933.25	Facility		$331.13	$512.86	$933.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $645.65 / $691.83	Facility		$537.03	$645.65	$691.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $537.03 / $912.01	Facility		$316.23	$537.03	$912.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $11,481.54 / $14,791.08	Facility		$8,709.64	$11,481.54	$14,791.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $12,882.50 / $25,118.86	Facility		$1,995.26	$12,882.50	$25,118.86