Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $5,128.61 / $8,511.38	Facility		$1,174.90	$5,128.61	$8,511.38
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 $912.01 / $1,202.26 / $1,412.54	Professional		$912.01	$1,202.26	$1,412.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $912.01 / $1,445.44	Facility		$575.44	$912.01	$1,445.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,122.02 / $1,202.26	Facility		$831.76	$1,122.02	$1,202.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $891.25 / $1,288.25	Facility		$575.44	$891.25	$1,288.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $5,011.87 / $6,025.60	Facility		$3,801.89	$5,011.87	$6,025.60
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