Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $4,786.30 / $13,182.57	Facility		$1,348.96	$4,786.30	$13,182.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility		$1,174.90	$1,174.90	$1,174.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $1,659.59	Professional		$1,047.13	$1,380.38	$1,659.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,148.15 / $4,897.79	Facility		$676.08	$1,148.15	$4,897.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,288.25 / $1,380.38	Facility		$1,096.48	$1,288.25	$1,380.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,047.13 / $1,584.89	Facility		$676.08	$1,047.13	$1,584.89
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 $3,019.95 / $17,378.01 / $26,302.68	Facility		$3,019.95	$17,378.01	$26,302.68