Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,737.80 / $7,943.28	Facility		$1,380.38	$1,737.80	$7,943.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,398.83	Facility		$2,290.87	$2,290.87	$2,398.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,318.26 / $1,621.81	Professional		$954.99	$1,318.26	$1,621.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $977.24 / $1,659.59	Facility		$676.08	$977.24	$1,659.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,348.96 / $1,380.38	Facility		$977.24	$1,348.96	$1,380.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $954.99 / $1,584.89	Facility		$630.96	$954.99	$1,584.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $8,912.51 / $10,964.78	Facility		$6,606.93	$8,912.51	$10,964.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $11,748.98 / $25,118.86	Facility		$1,995.26	$11,748.98	$25,118.86