Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $1,995.26 / $7,943.28	Facility		$269.15	$1,995.26	$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 $190.55 / $251.19 / $281.84	Professional		$190.55	$251.19	$281.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $213.80 / $501.19	Facility		$147.91	$213.80	$501.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $263.03 / $309.03	Facility		$218.78	$263.03	$309.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $218.78 / $426.58	Facility		$138.04	$218.78	$426.58
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