Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,584.89 / $6,606.93	Facility		$870.96	$1,584.89	$6,606.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,318.26 / $1,659.59	Professional		$1,047.13	$1,318.26	$1,659.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $912.01 / $1,445.44	Facility		$588.84	$912.01	$1,445.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,174.90 / $1,288.25	Facility		$870.96	$1,174.90	$1,288.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $912.01 / $1,380.38	Facility		$588.84	$912.01	$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 $1,698.24 / $5,754.40 / $14,125.38	Facility		$1,698.24	$5,754.40	$14,125.38