Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,479.11 / $13,803.84	Facility		$1,122.02	$1,479.11	$13,803.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,148.15 / $1,380.38	Professional		$870.96	$1,148.15	$1,380.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $977.24 / $1,584.89	Facility		$575.44	$977.24	$1,584.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,071.52 / $1,148.15	Facility		$912.01	$1,071.52	$1,148.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $954.99 / $1,380.38	Facility		$575.44	$954.99	$1,380.38
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