Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,412.54 / $13,803.84	Facility		$1,071.52	$1,412.54	$13,803.84
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 $549.54 / $891.25 / $1,412.54	Facility		$549.54	$891.25	$1,412.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,047.13 / $1,096.48	Facility		$870.96	$1,047.13	$1,096.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $851.14 / $1,230.27	Facility		$549.54	$851.14	$1,230.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $16,595.87 / $26,915.35	Facility		$6,918.31	$16,595.87	$26,915.35
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $17,378.01 / $26,302.68	Facility		$3,019.95	$17,378.01	$26,302.68