Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,034.38 / $2,747.00 / $7,920.26	Facility		$1,034.38	$2,747.00	$7,920.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $5,022.74	Facility		$1,664.70	$1,664.70	$5,022.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $845.56 / $1,110.30 / $1,370.13	Professional		$845.56	$1,110.30	$1,370.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $578.05 / $953.18 / $1,456.89	Facility		$578.05	$953.18	$1,456.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $723.84 / $997.63 / $1,061.95	Facility		$723.84	$997.63	$1,061.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $617.13 / $1,092.00 / $1,456.89	Facility		$617.13	$1,092.00	$1,456.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,671.70 / $19,116.02 / $21,922.68	Facility		$13,671.70	$19,116.02	$21,922.68
United Facility/Professional Facility Modifier Low / Median / High Price $2,151.00 / $15,055.00 / $24,231.00	Facility		$2,151.00	$15,055.00	$24,231.00