Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $5,754.40 / $13,182.57	Facility		$1,230.27	$5,754.40	$13,182.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $3,388.44	Facility		$1,659.59	$1,659.59	$3,388.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,258.93 / $1,513.56	Professional		$912.01	$1,258.93	$1,513.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $851.14 / $1,513.56	Facility		$616.60	$851.14	$1,513.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,202.26 / $1,258.93	Facility		$870.96	$1,202.26	$1,258.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $851.14 / $1,445.44	Facility		$575.44	$851.14	$1,445.44
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