Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $963.07 / $9,950.34 / $13,196.55	Facility		$963.07	$9,950.34	$13,196.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $2,406.86	Facility		$1,664.70	$1,664.70	$2,406.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $776.75 / $1,019.94 / $1,263.63	Professional		$776.75	$1,019.94	$1,263.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $527.80 / $865.56 / $1,302.32	Facility		$527.80	$865.56	$1,302.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $656.11 / $905.17 / $975.52	Facility		$656.11	$905.17	$975.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $566.12 / $966.24 / $1,677.55	Facility		$566.12	$966.24	$1,677.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,607.31 / $9,198.70 / $11,120.17	Facility		$6,607.31	$9,198.70	$11,120.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,533.00 / $8,090.00 / $12,786.00	Facility		$1,533.00	$8,090.00	$12,786.00