Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $7,943.28 / $16,982.44	Facility		$1,659.59	$7,943.28	$16,982.44
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 $1,288.25 / $1,698.24 / $2,041.74	Professional		$1,288.25	$1,698.24	$2,041.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,258.93 / $2,089.30	Facility		$812.83	$1,258.93	$2,089.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,621.81 / $1,737.80	Facility		$1,202.26	$1,621.81	$1,737.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,258.93 / $1,949.84	Facility		$812.83	$1,258.93	$1,949.84
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