Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,258.93 / $7,943.28	Facility		$812.83	$1,258.93	$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 $588.84 / $870.96 / $1,348.96	Professional		$588.84	$870.96	$1,348.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $741.31 / $1,288.25	Facility		$457.09	$741.31	$1,288.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,023.29 / $1,096.48	Facility		$724.44	$1,023.29	$1,096.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $707.95 / $1,202.26	Facility		$416.87	$707.95	$1,202.26
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