Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,584.89 / $13,182.57	Facility		$851.14	$1,584.89	$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 $933.25 / $1,230.27 / $1,479.11	Professional		$933.25	$1,230.27	$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 $1,000.00 / $1,174.90 / $1,230.27	Facility		$1,000.00	$1,174.90	$1,230.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $954.99 / $1,380.38	Facility		$602.56	$954.99	$1,380.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $22,387.21 / $27,542.29	Facility		$16,982.44	$22,387.21	$27,542.29
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $13,182.57 / $31,622.78	Facility		$2,137.96	$13,182.57	$31,622.78