Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $7,943.28 / $23,442.29	Facility		$1,174.90	$7,943.28	$23,442.29
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 $912.01 / $1,202.26 / $1,445.44	Professional		$912.01	$1,202.26	$1,445.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $933.25 / $1,621.81	Facility		$602.56	$933.25	$1,621.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,122.02 / $1,202.26	Facility		$954.99	$1,122.02	$1,202.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $933.25 / $1,412.54	Facility		$602.56	$933.25	$1,412.54
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 $2,137.96 / $12,882.50 / $26,302.68	Facility		$2,137.96	$12,882.50	$26,302.68