Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,819.70 / $13,803.84	Facility		$1,412.54	$1,819.70	$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 $630.96 / $1,288.25 / $1,445.44	Professional		$630.96	$1,288.25	$1,445.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,096.48 / $2,290.87	Facility		$724.44	$1,096.48	$2,290.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,348.96 / $1,412.54	Facility		$977.24	$1,348.96	$1,412.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,071.52 / $1,737.80	Facility		$691.83	$1,071.52	$1,737.80
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