Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,445.44 / $7,943.28	Facility		$1,122.02	$1,445.44	$7,943.28
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 $812.83 / $1,096.48 / $1,348.96	Professional		$812.83	$1,096.48	$1,348.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $851.14 / $1,698.24	Facility		$562.34	$851.14	$1,698.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,096.48 / $1,174.90	Facility		$977.24	$1,096.48	$1,174.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $912.01 / $1,380.38	Facility		$575.44	$912.01	$1,380.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Facility		$3,019.95	$3,019.95	$3,019.95
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $4,073.80 / $6,165.95	Facility		$389.05	$4,073.80	$6,165.95