Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $7,943.28 / $15,848.93	Facility		$1,174.90	$7,943.28	$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 $933.25 / $1,230.27 / $1,445.44	Professional		$933.25	$1,230.27	$1,445.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $933.25 / $1,905.46	Facility		$588.84	$933.25	$1,905.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,122.02 / $1,202.26	Facility		$891.25	$1,122.02	$1,202.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $891.25 / $1,288.25	Facility		$588.84	$891.25	$1,288.25
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