Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,905.46 / $13,182.57	Facility		$1,318.26	$1,905.46	$13,182.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,258.93 / $1,548.82	Professional		$933.25	$1,258.93	$1,548.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,071.52 / $1,905.46	Facility		$630.96	$1,071.52	$1,905.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,288.25 / $1,318.26	Facility		$1,071.52	$1,288.25	$1,318.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,071.52 / $1,621.81	Facility		$660.69	$1,071.52	$1,621.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $17,378.01 / $22,387.21 / $27,542.29	Facility		$17,378.01	$22,387.21	$27,542.29
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $26,302.68 / $52,480.75	Facility		$3,311.31	$26,302.68	$52,480.75