Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $5,128.61 / $89,125.09	Facility		$1,148.15	$5,128.61	$89,125.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,148.15 / $1,380.38	Professional		$870.96	$1,148.15	$1,380.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $891.25 / $1,412.54	Facility		$562.34	$891.25	$1,412.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,096.48 / $1,148.15	Facility		$870.96	$1,096.48	$1,148.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $891.25 / $1,348.96	Facility		$575.44	$891.25	$1,348.96
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