Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,778.28 / $13,182.57	Facility		$1,174.90	$1,778.28	$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 / $1,258.93 / $1,659.59	Professional		$933.25	$1,258.93	$1,659.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,023.29 / $1,737.80	Facility		$630.96	$1,023.29	$1,737.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,348.96 / $1,548.82	Facility		$1,047.13	$1,348.96	$1,548.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,000.00 / $1,548.82	Facility		$616.60	$1,000.00	$1,548.82
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