Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,105.96 / $2,747.00 / $7,920.26	Facility		$1,105.96	$2,747.00	$7,920.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $998.30 / $1,203.74 / $1,384.55	Professional		$998.30	$1,203.74	$1,384.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $580.41 / $939.78 / $1,343.00	Facility		$580.41	$939.78	$1,343.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $713.64 / $1,036.21 / $1,150.39	Facility		$713.64	$1,036.21	$1,150.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $655.50 / $945.29 / $1,496.70	Facility		$655.50	$945.29	$1,496.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,820.30 / $4,901.89 / $6,016.60	Facility		$3,820.30	$4,901.89	$6,016.60
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00