Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,348.96 / $13,803.84	Facility		$1,071.52	$1,348.96	$13,803.84
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 $794.33 / $1,071.52 / $1,258.93	Professional		$794.33	$1,071.52	$1,258.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $891.25 / $1,380.38	Facility		$524.81	$891.25	$1,380.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,047.13 / $1,071.52	Facility		$831.76	$1,047.13	$1,071.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $891.25 / $1,258.93	Facility		$524.81	$891.25	$1,258.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $7,585.78 / $12,302.69	Facility		$3,090.30	$7,585.78	$12,302.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $12,882.50 / $26,302.68	Facility		$2,137.96	$12,882.50	$26,302.68