Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $7,943.28 / $13,803.84	Facility		$512.86	$7,943.28	$13,803.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Facility		$2,041.74	$2,041.74	$2,041.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $676.08 / $812.83	Professional		$489.78	$676.08	$812.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $512.86 / $954.99	Facility		$346.74	$512.86	$954.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $660.69 / $691.83	Facility		$562.34	$660.69	$691.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $512.86 / $831.76	Facility		$331.13	$512.86	$831.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $18,197.01 / $21,877.62	Facility		$13,489.63	$18,197.01	$21,877.62
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $16,218.10 / $23,988.33	Facility		$2,238.72	$16,218.10	$23,988.33