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 / $7,943.28	Facility		$1,071.52	$1,412.54	$7,943.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,122.02 / $1,318.26	Professional		$851.14	$1,122.02	$1,318.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $831.76 / $1,288.25	Facility		$524.81	$831.76	$1,288.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,023.29 / $1,096.48	Facility		$831.76	$1,023.29	$1,096.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $812.83 / $1,202.26	Facility		$524.81	$812.83	$1,202.26
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