Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,698.24 / $7,943.28	Facility		$1,412.54	$1,698.24	$7,943.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
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 / $977.24 / $1,778.28	Facility		$691.83	$977.24	$1,778.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,230.27 / $1,412.54	Facility		$891.25	$1,230.27	$1,412.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $954.99 / $1,698.24	Facility		$616.60	$954.99	$1,698.24
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