Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $13,182.57	Facility		$1,148.15	$1,513.56	$13,182.57
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 $891.25 / $1,174.90 / $1,412.54	Professional		$891.25	$1,174.90	$1,412.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $891.25 / $1,412.54	Facility		$575.44	$891.25	$1,412.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,096.48 / $1,174.90	Facility		$912.01	$1,096.48	$1,174.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $870.96 / $1,258.93	Facility		$575.44	$870.96	$1,258.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $22,387.21 / $27,542.29	Facility		$16,982.44	$22,387.21	$27,542.29
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $20,892.96 / $31,622.78	Facility		$3,019.95	$20,892.96	$31,622.78