Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $660.69 / $7,943.28	Facility		$512.86	$660.69	$7,943.28
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 $208.93 / $436.52 / $501.19	Professional		$208.93	$436.52	$501.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $380.19 / $758.58	Facility		$257.04	$380.19	$758.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $501.19 / $512.86	Facility		$416.87	$501.19	$512.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $380.19 / $645.65	Facility		$245.47	$380.19	$645.65
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