Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $7,943.28 / $13,803.84	Facility		$1,122.02	$7,943.28	$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 $831.76 / $1,148.15 / $1,380.38	Professional		$831.76	$1,148.15	$1,380.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $776.25 / $1,348.96	Facility		$549.54	$776.25	$1,348.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,071.52 / $1,122.02	Facility		$776.25	$1,071.52	$1,122.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $776.25 / $1,318.26	Facility		$537.03	$776.25	$1,318.26
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