Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,548.82 / $7,943.28	Facility		$1,174.90	$1,548.82	$7,943.28
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 $912.01 / $1,230.27 / $1,445.44	Professional		$912.01	$1,230.27	$1,445.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,023.29 / $1,659.59	Facility		$588.84	$1,023.29	$1,659.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,122.02 / $1,202.26	Facility		$954.99	$1,122.02	$1,202.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,000.00 / $1,445.44	Facility		$602.56	$1,000.00	$1,445.44
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 $1,995.26 / $10,232.93 / $31,622.78	Facility		$1,995.26	$10,232.93	$31,622.78