Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $7,943.28 / $14,791.08	Facility		$1,202.26	$7,943.28	$14,791.08
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 $933.25 / $1,258.93 / $1,479.11	Professional		$933.25	$1,258.93	$1,479.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $954.99 / $1,479.11	Facility		$602.56	$954.99	$1,479.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,148.15 / $1,230.27	Facility		$977.24	$1,148.15	$1,230.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $933.25 / $1,380.38	Facility		$616.60	$933.25	$1,380.38
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 $2,137.96 / $12,882.50 / $26,302.68	Facility		$2,137.96	$12,882.50	$26,302.68