Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,819.70 / $13,803.84	Facility		$1,047.13	$1,819.70	$13,803.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,398.83	Facility		$2,041.74	$2,041.74	$2,398.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,071.52 / $1,288.25	Professional		$776.25	$1,071.52	$1,288.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $741.31 / $1,258.93	Facility		$524.81	$741.31	$1,258.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,000.00 / $1,071.52	Facility		$812.83	$1,000.00	$1,071.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $758.58 / $1,258.93	Facility		$512.86	$758.58	$1,258.93
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 $1,621.81 / $9,120.11 / $12,882.50	Facility		$1,621.81	$9,120.11	$12,882.50