Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $7,943.28 / $19,054.61	Facility		$1,096.48	$7,943.28	$19,054.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Facility		$2,344.23	$2,344.23	$2,344.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,000.00 / $1,288.25	Professional		$724.44	$1,000.00	$1,288.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $776.25 / $1,380.38	Facility		$524.81	$776.25	$1,380.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,047.13 / $1,096.48	Facility		$891.25	$1,047.13	$1,096.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $812.83 / $1,288.25	Facility		$501.19	$812.83	$1,288.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $18,620.87 / $22,387.21	Facility		$13,803.84	$18,620.87	$22,387.21
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $16,218.10 / $23,988.33	Facility		$2,238.72	$16,218.10	$23,988.33