Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $6,025.60 / $13,803.84	Facility		$1,258.93	$6,025.60	$13,803.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,348.96 / $1,621.81	Professional		$1,071.52	$1,348.96	$1,621.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,000.00 / $1,949.84	Facility		$630.96	$1,000.00	$1,949.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,122.02 / $1,288.25	Facility		$812.83	$1,122.02	$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 $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