Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,445.44 / $13,182.57	Facility		$1,071.52	$1,445.44	$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 $831.76 / $1,096.48 / $1,348.96	Professional		$831.76	$1,096.48	$1,348.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $831.76 / $1,318.26	Facility		$537.03	$831.76	$1,318.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,023.29 / $1,122.02	Facility		$870.96	$1,023.29	$1,122.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $812.83 / $1,174.90	Facility		$549.54	$812.83	$1,174.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $22,387.21 / $27,542.29	Facility		$11,748.98	$22,387.21	$27,542.29
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $17,782.79 / $31,622.78	Facility		$2,884.03	$17,782.79	$31,622.78