Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,169.89 / $7,920.26 / $32,689.00	Facility		$1,169.89	$7,920.26	$32,689.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,059.63 / $2,059.63 / $2,406.86	Facility		$2,059.63	$2,059.63	$2,406.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $857.14 / $1,125.50 / $1,391.41	Professional		$857.14	$1,125.50	$1,391.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $583.04 / $960.48 / $1,439.31	Facility		$583.04	$960.48	$1,439.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $729.66 / $1,003.66 / $1,079.36	Facility		$729.66	$1,003.66	$1,079.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $629.46 / $1,061.03 / $1,856.14	Facility		$629.46	$1,061.03	$1,856.14
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 / $8,336.14 / $12,786.00	Facility		$1,533.00	$8,336.14	$12,786.00