Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $5,754.40 / $13,182.57	Facility		$1,047.13	$5,754.40	$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 $812.83 / $1,071.52 / $1,288.25	Professional		$812.83	$1,071.52	$1,288.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $933.25 / $1,621.81	Facility		$537.03	$933.25	$1,621.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,000.00 / $1,071.52	Facility		$831.76	$1,000.00	$1,071.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $891.25 / $1,288.25	Facility		$537.03	$891.25	$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