Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,445.44 / $13,803.84	Facility		$1,122.02	$1,445.44	$13,803.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,884.03	Facility		$2,041.74	$2,041.74	$2,884.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,148.15 / $1,348.96	Professional		$831.76	$1,148.15	$1,348.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $831.76 / $1,380.38	Facility		$575.44	$831.76	$1,380.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,122.02 / $1,174.90	Facility		$812.83	$1,122.02	$1,174.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $831.76 / $1,348.96	Facility		$549.54	$831.76	$1,348.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $12,022.64 / $14,791.08	Facility		$8,709.64	$12,022.64	$14,791.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $12,882.50 / $25,118.86	Facility		$1,995.26	$12,882.50	$25,118.86