Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,584.89 / $7,943.28	Facility		$1,202.26	$1,584.89	$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 / $1,479.11	Professional		$912.01	$1,202.26	$1,479.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $912.01 / $1,445.44	Facility		$575.44	$912.01	$1,445.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,148.15 / $1,174.90	Facility		$851.14	$1,148.15	$1,174.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $912.01 / $1,380.38	Facility		$575.44	$912.01	$1,380.38
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