Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,698.24 / $13,182.57	Facility		$1,318.26	$1,698.24	$13,182.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,318.26 / $1,584.89	Professional		$977.24	$1,318.26	$1,584.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $912.01 / $1,584.89	Facility		$645.65	$912.01	$1,584.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,258.93 / $1,318.26	Facility		$912.01	$1,258.93	$1,318.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $912.01 / $1,548.82	Facility		$616.60	$912.01	$1,548.82
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