Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $5,128.61 / $11,220.18	Facility		$1,174.90	$5,128.61	$11,220.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
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 / $1,479.11	Facility		$588.84	$933.25	$1,479.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,122.02 / $1,202.26	Facility		$933.25	$1,122.02	$1,202.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $912.01 / $1,288.25	Facility		$588.84	$912.01	$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 $1,995.26 / $10,000.00 / $14,125.38	Facility		$1,995.26	$10,000.00	$14,125.38