Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,348.96 / $13,182.57	Facility		$1,023.29	$1,348.96	$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 $794.33 / $1,047.13 / $1,258.93	Professional		$794.33	$1,047.13	$1,258.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $794.33 / $1,258.93	Facility		$512.86	$794.33	$1,258.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $977.24 / $1,047.13	Facility		$812.83	$977.24	$1,047.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $812.83 / $1,122.02	Facility		$524.81	$812.83	$1,122.02
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