Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,348.96 / $13,182.57	Facility		$1,000.00	$1,348.96	$13,182.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,174.90 / $1,380.38	Professional		$912.01	$1,174.90	$1,380.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $758.58 / $1,230.27	Facility		$512.86	$758.58	$1,230.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $977.24 / $1,071.52	Facility		$707.95	$977.24	$1,071.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $741.31 / $1,122.02	Facility		$489.78	$741.31	$1,122.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $7,585.78 / $12,302.69	Facility		$3,090.30	$7,585.78	$12,302.69
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $4,365.16 / $6,918.31	Facility		$389.05	$4,365.16	$6,918.31