Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $812.83 / $7,943.28	Facility		$660.69	$812.83	$7,943.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $630.96 / $758.58	Professional		$478.63	$630.96	$758.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $467.74 / $812.83	Facility		$302.00	$467.74	$812.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $616.60 / $660.69	Facility		$478.63	$616.60	$660.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $467.74 / $691.83	Facility		$302.00	$467.74	$691.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $31,622.78 / $47,863.01 / $75,857.76	Facility		$31,622.78	$47,863.01	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $26,302.68 / $52,480.75	Facility		$3,311.31	$26,302.68	$52,480.75