Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,258.93 / $13,803.84	Facility		$676.08	$1,258.93	$13,803.84
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 $891.25 / $1,174.90 / $2,238.72	Professional		$891.25	$1,174.90	$2,238.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $707.95 / $1,288.25	Facility		$436.52	$707.95	$1,288.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $977.24 / $1,023.29	Facility		$676.08	$977.24	$1,023.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $707.95 / $1,258.93	Facility		$398.11	$707.95	$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