Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $512.86 / $6,606.93	Facility		$165.96	$512.86	$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 $144.54 / $263.03 / $645.65	Professional		$144.54	$263.03	$645.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $213.80 / $549.54	Facility		$85.11	$213.80	$549.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $380.19 / $457.09	Facility		$229.09	$380.19	$457.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $208.93 / $512.86	Facility		$91.20	$208.93	$512.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,187.76 / $2,754.23	Facility		$1,737.80	$2,187.76	$2,754.23
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $2,570.40 / $3,311.31 / $4,168.69	Facility	50	$2,570.40	$3,311.31	$4,168.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,951.21 / $7,413.10	Facility		$1,096.48	$2,951.21	$7,413.10