Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,737.80 / $21,877.62	Facility		$1,318.26	$1,737.80	$21,877.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility		$1,348.96	$1,348.96	$1,348.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,230.27 / $1,412.54	Professional		$616.60	$1,230.27	$1,412.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,023.29 / $2,137.96	Facility		$676.08	$1,023.29	$2,137.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,258.93 / $1,348.96	Facility		$933.25	$1,258.93	$1,348.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,023.29 / $1,698.24	Facility		$660.69	$1,023.29	$1,698.24
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