Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $7,943.28 / $13,182.57	Facility		$831.76	$7,943.28	$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 $645.65 / $851.14 / $1,023.29	Professional		$645.65	$851.14	$1,023.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $645.65 / $7,585.78	Facility		$398.11	$645.65	$7,585.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $794.33 / $851.14	Facility		$676.08	$794.33	$851.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $660.69 / $1,023.29	Facility		$416.87	$660.69	$1,023.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $5,128.61 / $6,456.54	Facility		$3,890.45	$5,128.61	$6,456.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $8,128.31 / $12,882.50	Facility		$1,995.26	$8,128.31	$12,882.50