Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,584.89 / $13,182.57	Facility		$870.96	$1,584.89	$13,182.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,071.52 / $1,548.82	Professional		$776.25	$1,071.52	$1,548.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $831.76 / $1,479.11	Facility		$512.86	$831.76	$1,479.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,148.15 / $1,230.27	Facility		$794.33	$1,148.15	$1,230.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $794.33 / $1,258.93	Facility		$501.19	$794.33	$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 $1,995.26 / $10,000.00 / $14,125.38	Facility		$1,995.26	$10,000.00	$14,125.38