Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,288.25 / $6,606.93	Facility		$851.14	$1,288.25	$6,606.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $2,398.83	Facility		$1,949.84	$1,949.84	$2,398.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,071.52 / $1,479.11	Professional		$776.25	$1,071.52	$1,479.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $691.83 / $1,230.27	Facility		$416.87	$691.83	$1,230.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,023.29 / $1,148.15	Facility		$707.95	$1,023.29	$1,148.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $660.69 / $1,148.15	Facility		$407.38	$660.69	$1,148.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $8,912.51 / $10,715.19	Facility		$6,606.93	$8,912.51	$10,715.19
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