Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $13,803.84	Facility		$1,047.13	$1,380.38	$13,803.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,096.48 / $1,288.25	Professional		$831.76	$1,096.48	$1,288.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $812.83 / $1,288.25	Facility		$524.81	$812.83	$1,288.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,023.29 / $1,071.52	Facility		$741.31	$1,023.29	$1,071.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $794.33 / $1,174.90	Facility		$537.03	$794.33	$1,174.90
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 $1,995.26 / $10,000.00 / $14,125.38	Facility		$1,995.26	$10,000.00	$14,125.38