Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $954.99 / $7,943.28	Facility		$724.44	$954.99	$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 $338.84 / $676.08 / $776.25	Professional		$338.84	$676.08	$776.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $562.34 / $1,047.13	Facility		$371.54	$562.34	$1,047.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $691.83 / $741.31	Facility		$524.81	$691.83	$741.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $549.54 / $891.25	Facility		$354.81	$549.54	$891.25
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 $1,995.26 / $9,549.93 / $12,882.50	Facility		$1,995.26	$9,549.93	$12,882.50