Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $10,715.19 / $15,488.17	Facility		$1,412.54	$10,715.19	$15,488.17
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 $954.99 / $1,258.93 / $1,513.56	Professional		$954.99	$1,258.93	$1,513.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,047.13 / $10,964.78	Facility		$616.60	$1,047.13	$10,964.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,202.26 / $1,258.93	Facility		$977.24	$1,202.26	$1,258.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $954.99 / $1,479.11	Facility		$616.60	$954.99	$1,479.11
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