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 / $13,803.84	Facility		$1,122.02	$1,445.44	$13,803.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,174.90 / $1,348.96	Professional		$891.25	$1,174.90	$1,348.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $891.25 / $1,412.54	Facility		$562.34	$891.25	$1,412.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,096.48 / $1,148.15	Facility		$912.01	$1,096.48	$1,148.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $891.25 / $1,258.93	Facility		$575.44	$891.25	$1,258.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $10,232.93 / $12,302.69	Facility		$7,762.47	$10,232.93	$12,302.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $12,882.50 / $26,302.68	Facility		$2,137.96	$12,882.50	$26,302.68