Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,548.82 / $13,182.57	Facility		$1,047.13	$1,548.82	$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 $537.03 / $1,071.52 / $1,230.27	Professional		$537.03	$1,071.52	$1,230.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $812.83 / $1,698.24	Facility		$549.54	$812.83	$1,698.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $977.24 / $1,047.13	Facility		$724.44	$977.24	$1,047.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $812.83 / $1,288.25	Facility		$537.03	$812.83	$1,288.25
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