Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $6,025.60 / $7,943.28	Facility		$1,174.90	$6,025.60	$7,943.28
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 $912.01 / $1,202.26 / $1,445.44	Professional		$912.01	$1,202.26	$1,445.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $891.25 / $1,548.82	Facility		$575.44	$891.25	$1,548.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,122.02 / $1,202.26	Facility		$891.25	$1,122.02	$1,202.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $851.14 / $1,318.26	Facility		$588.84	$851.14	$1,318.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $6,165.95 / $7,413.10	Facility		$4,897.79	$6,165.95	$7,413.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $9,120.11 / $12,882.50	Facility		$1,995.26	$9,120.11	$12,882.50