Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,698.24 / $7,943.28	Facility		$1,318.26	$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 / $1,348.96	Professional		$588.84	$1,202.26	$1,348.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,000.00 / $1,862.09	Facility		$676.08	$1,000.00	$1,862.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,258.93 / $1,288.25	Facility		$954.99	$1,258.93	$1,288.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $977.24 / $1,584.89	Facility		$645.65	$977.24	$1,584.89
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