Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $5,495.41 / $15,848.93	Facility		$1,230.27	$5,495.41	$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 $977.24 / $1,288.25 / $1,513.56	Professional		$977.24	$1,288.25	$1,513.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $954.99 / $1,513.56	Facility		$616.60	$954.99	$1,513.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,174.90 / $1,258.93	Facility		$977.24	$1,174.90	$1,258.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $977.24 / $1,348.96	Facility		$616.60	$977.24	$1,348.96
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 $2,884.03 / $16,218.10 / $23,988.33	Facility		$2,884.03	$16,218.10	$23,988.33