Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,023.29 / $6,606.93	Facility		$575.44	$1,023.29	$6,606.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $562.34 / $1,096.48	Professional		$436.52	$562.34	$1,096.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $588.84 / $1,047.13	Facility		$302.00	$588.84	$1,047.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $851.14 / $891.25	Facility		$616.60	$851.14	$891.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $562.34 / $1,047.13	Facility		$295.12	$562.34	$1,047.13
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