Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,698.24 / $13,803.84	Facility		$1,348.96	$1,698.24	$13,803.84
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 $588.84 / $1,202.26 / $1,380.38	Professional		$588.84	$1,202.26	$1,380.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,023.29 / $2,187.76	Facility		$691.83	$1,023.29	$2,187.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,288.25 / $1,318.26	Facility		$977.24	$1,288.25	$1,318.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,023.29 / $1,659.59	Facility		$660.69	$1,023.29	$1,659.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $15,135.61 / $19,498.45	Facility		$10,715.19	$15,135.61	$19,498.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,232.93 / $22,908.68	Facility		$1,995.26	$10,232.93	$22,908.68