Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,445.44 / $13,182.57	Facility		$812.83	$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 $758.58 / $1,023.29 / $1,445.44	Professional		$758.58	$1,023.29	$1,445.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $758.58 / $1,288.25	Facility		$416.87	$758.58	$1,288.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,096.48 / $1,174.90	Facility		$812.83	$1,096.48	$1,174.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $758.58 / $1,202.26	Facility		$416.87	$758.58	$1,202.26
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