Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,584.89 / $13,803.84	Facility		$1,258.93	$1,584.89	$13,803.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $4,365.16	Facility		$2,884.03	$2,884.03	$4,365.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,258.93 / $1,513.56	Professional		$912.01	$1,258.93	$1,513.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $912.01 / $1,513.56	Facility		$630.96	$912.01	$1,513.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,230.27 / $1,288.25	Facility		$891.25	$1,230.27	$1,288.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $912.01 / $1,479.11	Facility		$602.56	$912.01	$1,479.11
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