Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,737.80 / $13,182.57	Facility		$1,318.26	$1,737.80	$13,182.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,380.38 / $1,659.59	Professional		$1,071.52	$1,380.38	$1,659.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,047.13 / $1,621.81	Facility		$660.69	$1,047.13	$1,621.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,202.26 / $1,318.26	Facility		$870.96	$1,202.26	$1,318.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,047.13 / $1,479.11	Facility		$676.08	$1,047.13	$1,479.11
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