Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,412.54 / $13,182.57	Facility		$1,071.52	$1,412.54	$13,182.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,096.48 / $1,318.26	Professional		$831.76	$1,096.48	$1,318.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $831.76 / $1,862.09	Facility		$512.86	$831.76	$1,862.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,023.29 / $1,096.48	Facility		$870.96	$1,023.29	$1,096.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $851.14 / $1,288.25	Facility		$537.03	$851.14	$1,288.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $8,912.51 / $10,715.19	Facility		$6,606.93	$8,912.51	$10,715.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $9,549.93 / $12,882.50	Facility		$1,995.26	$9,549.93	$12,882.50