Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $2,818.38 / $7,943.28	Facility		$812.83	$2,818.38	$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 $676.08 / $891.25 / $1,047.13	Professional		$676.08	$891.25	$1,047.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $645.65 / $1,174.90	Facility		$407.38	$645.65	$1,174.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $794.33 / $870.96	Facility		$588.84	$794.33	$870.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $630.96 / $954.99	Facility		$407.38	$630.96	$954.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $6,165.95 / $7,413.10	Facility		$4,897.79	$6,165.95	$7,413.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $9,120.11 / $12,882.50	Facility		$1,995.26	$9,120.11	$12,882.50