Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,479.11 / $13,182.57	Facility		$1,122.02	$1,479.11	$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 $870.96 / $1,174.90 / $1,348.96	Professional		$870.96	$1,174.90	$1,348.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $912.01 / $1,412.54	Facility		$562.34	$912.01	$1,412.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,122.02 / $1,174.90	Facility		$954.99	$1,122.02	$1,174.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $891.25 / $1,288.25	Facility		$562.34	$891.25	$1,288.25
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 $1,995.26 / $10,000.00 / $14,125.38	Facility		$1,995.26	$10,000.00	$14,125.38