Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $323.59 / $7,943.28	Facility		$204.17	$323.59	$7,943.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $208.93 / $346.74	Professional		$154.88	$208.93	$346.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $190.55 / $331.13	Facility		$112.20	$190.55	$331.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $269.15 / $288.40	Facility		$194.98	$269.15	$288.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $186.21 / $323.59	Facility		$107.15	$186.21	$323.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $7,413.10 / $8,709.64	Facility		$5,495.41	$7,413.10	$8,709.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,715.35 / $10,232.93	Facility		$1,096.48	$3,715.35	$10,232.93