Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,479.11 / $13,182.57	Facility		$1,148.15	$1,479.11	$13,182.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $1,047.13 / $1,202.26	Professional		$512.86	$1,047.13	$1,202.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $891.25 / $1,862.09	Facility		$575.44	$891.25	$1,862.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,096.48 / $1,148.15	Facility		$812.83	$1,096.48	$1,148.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $891.25 / $1,412.54	Facility		$562.34	$891.25	$1,412.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $7,413.10 / $8,912.51	Facility		$5,754.40	$7,413.10	$8,912.51
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $9,549.93 / $12,882.50	Facility		$1,995.26	$9,549.93	$12,882.50