Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,348.96 / $7,943.28	Facility		$1,023.29	$1,348.96	$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 $794.33 / $1,047.13 / $1,258.93	Professional		$794.33	$1,047.13	$1,258.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $776.25 / $1,258.93	Facility		$501.19	$776.25	$1,258.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $977.24 / $1,047.13	Facility		$812.83	$977.24	$1,047.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $776.25 / $1,122.02	Facility		$512.86	$776.25	$1,122.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $5,011.87 / $6,165.95	Facility		$3,801.89	$5,011.87	$6,165.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,495.41 / $7,413.10	Facility		$1,698.24	$5,495.41	$7,413.10