Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $851.14 / $7,943.28	Facility		$512.86	$851.14	$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 $467.74 / $630.96 / $794.33	Professional		$467.74	$630.96	$794.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $512.86 / $851.14	Facility		$346.74	$512.86	$851.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $660.69 / $707.95	Facility		$575.44	$660.69	$707.95
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 $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $15,135.61 / $23,988.33	Facility		$2,089.30	$15,135.61	$23,988.33