Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $7,943.28 / $13,182.57	Facility		$794.33	$7,943.28	$13,182.57
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 $616.60 / $812.83 / $977.24	Professional		$616.60	$812.83	$977.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $602.56 / $977.24	Facility		$380.19	$602.56	$977.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $758.58 / $831.76	Facility		$562.34	$758.58	$831.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $602.56 / $933.25	Facility		$389.05	$602.56	$933.25
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