Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,445.44 / $13,182.57	Facility		$870.96	$1,445.44	$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 $776.25 / $1,047.13 / $1,479.11	Professional		$776.25	$1,047.13	$1,479.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $831.76 / $1,380.38	Facility		$512.86	$831.76	$1,380.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,148.15 / $1,202.26	Facility		$831.76	$1,148.15	$1,202.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $812.83 / $1,258.93	Facility		$512.86	$812.83	$1,258.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $22,387.21 / $27,542.29	Facility		$16,982.44	$22,387.21	$27,542.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,232.93 / $31,622.78	Facility		$1,995.26	$10,232.93	$31,622.78