Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,737.80 / $7,943.28	Facility		$389.05	$1,737.80	$7,943.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $4,786.30	Facility		$4,365.16	$4,365.16	$4,786.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $501.19 / $1,862.09	Professional		$331.13	$501.19	$1,862.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $831.76 / $1,698.24	Facility		$229.09	$831.76	$1,698.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,318.26 / $1,412.54	Facility		$891.25	$1,318.26	$1,412.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $660.69 / $1,548.82	Facility		$194.98	$660.69	$1,548.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $11,748.98 / $14,454.40	Facility		$8,511.38	$11,748.98	$14,454.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $9,549.93 / $14,454.40	Facility		$1,621.81	$9,549.93	$14,454.40