Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $5,128.61 / $51,286.14	Facility		$758.58	$5,128.61	$51,286.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $794.33 / $912.01	Professional		$602.56	$794.33	$912.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $676.08 / $1,122.02	Facility		$380.19	$676.08	$1,122.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $741.31 / $776.25	Facility		$630.96	$741.31	$776.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $676.08 / $933.25	Facility		$380.19	$676.08	$933.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $45,708.82 / $57,543.99 / $72,443.60	Facility		$45,708.82	$57,543.99	$72,443.60
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $51,286.14 / $77,624.71	Facility		$4,265.80	$51,286.14	$77,624.71