Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,548.82 / $15,848.93	Facility		$1,174.90	$1,548.82	$15,848.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility		$1,174.90	$1,174.90	$1,174.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,148.15 / $1,445.44	Professional		$870.96	$1,148.15	$1,445.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $851.14 / $1,412.54	Facility		$549.54	$851.14	$1,412.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,096.48 / $1,174.90	Facility		$812.83	$1,096.48	$1,174.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $851.14 / $1,318.26	Facility		$575.44	$851.14	$1,318.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $10,232.93 / $12,302.69	Facility		$7,413.10	$10,232.93	$12,302.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $16,218.10 / $23,988.33	Facility		$2,884.03	$16,218.10	$23,988.33