Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $7,244.36 / $13,182.57	Facility		$1,230.27	$7,244.36	$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 $954.99 / $1,258.93 / $1,513.56	Professional		$954.99	$1,258.93	$1,513.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $870.96 / $1,548.82	Facility		$575.44	$870.96	$1,548.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,202.26 / $1,258.93	Facility		$794.33	$1,202.26	$1,258.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $870.96 / $1,348.96	Facility		$575.44	$870.96	$1,348.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $8,912.51 / $10,715.19	Facility		$6,606.93	$8,912.51	$10,715.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,754.40 / $12,589.25	Facility		$1,698.24	$5,754.40	$12,589.25