Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,995.26 / $15,848.93	Facility		$1,174.90	$1,995.26	$15,848.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Facility		$977.24	$977.24	$977.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,202.26 / $1,905.46	Professional		$812.83	$1,202.26	$1,905.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,071.52 / $1,905.46	Facility		$645.65	$1,071.52	$1,905.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,445.44 / $1,584.89	Facility		$1,023.29	$1,445.44	$1,584.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,000.00 / $1,778.28	Facility		$602.56	$1,000.00	$1,778.28
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
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $8,128.31 / $10,964.78 / $13,182.57	Facility	50	$8,128.31	$10,964.78	$13,182.57
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