Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $7,943.28 / $13,803.84	Facility		$1,258.93	$7,943.28	$13,803.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,230.27 / $1,513.56	Professional		$891.25	$1,230.27	$1,513.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $912.01 / $1,548.82	Facility		$645.65	$912.01	$1,548.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,230.27 / $1,288.25	Facility		$912.01	$1,230.27	$1,288.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $912.01 / $1,513.56	Facility		$602.56	$912.01	$1,513.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $12,882.50 / $28,183.83	Facility		$8,709.64	$12,882.50	$28,183.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $12,882.50 / $26,302.68	Facility		$1,995.26	$12,882.50	$26,302.68