Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,513.56 / $7,943.28	Facility		$1,174.90	$1,513.56	$7,943.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $3,388.44	Facility		$1,949.84	$1,949.84	$3,388.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,174.90 / $1,412.54	Professional		$851.14	$1,174.90	$1,412.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $812.83 / $1,412.54	Facility		$588.84	$812.83	$1,412.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,148.15 / $1,202.26	Facility		$851.14	$1,148.15	$1,202.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $812.83 / $1,380.38	Facility		$549.54	$812.83	$1,380.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,317.64 / $11,220.18 / $13,489.63	Facility		$8,317.64	$11,220.18	$13,489.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $12,882.50 / $25,118.86	Facility		$1,995.26	$12,882.50	$25,118.86