Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $7,943.28 / $13,803.84	Facility		$1,412.54	$7,943.28	$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 $602.56 / $1,230.27 / $1,412.54	Professional		$602.56	$1,230.27	$1,412.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,071.52 / $2,398.83	Facility		$707.95	$1,071.52	$2,398.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,348.96 / $1,380.38	Facility		$977.24	$1,348.96	$1,380.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,047.13 / $1,737.80	Facility		$691.83	$1,047.13	$1,737.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $7,413.10 / $8,709.64	Facility		$5,495.41	$7,413.10	$8,709.64
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