Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,659.59 / $7,943.28	Facility		$1,258.93	$1,659.59	$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 $977.24 / $1,288.25 / $1,548.82	Professional		$977.24	$1,288.25	$1,548.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $977.24 / $1,548.82	Facility		$630.96	$977.24	$1,548.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,202.26 / $1,288.25	Facility		$1,023.29	$1,202.26	$1,288.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $977.24 / $1,380.38	Facility		$630.96	$977.24	$1,380.38
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