Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $776.25 / $7,943.28	Facility		$588.84	$776.25	$7,943.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $630.96 / $741.31	Professional		$478.63	$630.96	$741.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $524.81 / $812.83	Facility		$295.12	$524.81	$812.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $575.44 / $602.56	Facility		$489.78	$575.44	$602.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $524.81 / $724.44	Facility		$302.00	$524.81	$724.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,488.17 / $20,892.96 / $25,703.96	Facility		$15,488.17	$20,892.96	$25,703.96
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $17,378.01 / $26,302.68	Facility		$3,019.95	$17,378.01	$26,302.68