Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,380.38 / $13,182.57	Facility		$1,071.52	$1,380.38	$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 $812.83 / $1,096.48 / $1,288.25	Professional		$812.83	$1,096.48	$1,288.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $912.01 / $1,348.96	Facility		$524.81	$912.01	$1,348.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,047.13 / $1,071.52	Facility		$891.25	$1,047.13	$1,071.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $891.25 / $1,258.93	Facility		$537.03	$891.25	$1,258.93
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