Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,412.54 / $7,943.28	Facility		$1,096.48	$1,412.54	$7,943.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $5,011.87	Facility		$4,365.16	$4,365.16	$5,011.87
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 / $707.95 / $1,348.96	Facility		$524.81	$707.95	$1,348.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,071.52 / $1,096.48	Facility		$912.01	$1,071.52	$1,096.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $741.31 / $1,318.26	Facility		$489.78	$741.31	$1,318.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $18,620.87 / $22,387.21	Facility		$13,489.63	$18,620.87	$22,387.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $9,549.93 / $22,387.21	Facility		$1,621.81	$9,549.93	$22,387.21