Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $309.03 / $6,606.93	Facility		$181.97	$309.03	$6,606.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $229.09 / $371.54	Professional		$162.18	$229.09	$371.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $169.82 / $354.81	Facility		$87.10	$169.82	$354.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $269.15 / $275.42	Facility		$194.98	$269.15	$275.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $173.78 / $302.00	Facility		$100.00	$173.78	$302.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,884.03 / $3,548.13	Facility		$2,290.87	$2,884.03	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,311.31 / $7,413.10	Facility		$1,096.48	$3,311.31	$7,413.10