Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,698.24 / $13,182.57	Facility		$1,318.26	$1,698.24	$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 $645.65 / $1,023.29 / $1,584.89	Facility		$645.65	$1,023.29	$1,584.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,148.15 / $1,318.26	Facility		$831.76	$1,148.15	$1,318.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $977.24 / $1,445.44	Facility		$645.65	$977.24	$1,445.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $10,232.93 / $12,302.69	Facility		$7,762.47	$10,232.93	$12,302.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,754.40 / $14,125.38	Facility		$1,698.24	$5,754.40	$14,125.38