Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $9,549.93 / $17,378.01	Facility		$1,071.52	$9,549.93	$17,378.01
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 $831.76 / $1,096.48 / $1,318.26	Professional		$831.76	$1,096.48	$1,318.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $851.14 / $1,479.11	Facility		$537.03	$851.14	$1,479.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,047.13 / $1,096.48	Facility		$870.96	$1,047.13	$1,096.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $851.14 / $1,258.93	Facility		$549.54	$851.14	$1,258.93
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