Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,191.08 / $2,575.54 / $7,920.26	Facility		$1,191.08	$2,575.54	$7,920.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,081.97 / $1,282.38 / $1,520.45	Professional		$1,081.97	$1,282.38	$1,520.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $794.55 / $1,073.64 / $1,463.70	Facility		$794.55	$1,073.64	$1,463.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $826.28 / $1,150.18 / $1,205.33	Facility		$826.28	$1,150.18	$1,205.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $787.18 / $1,095.83 / $1,532.57	Facility		$787.18	$1,095.83	$1,532.57
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,245.03 / $1,561.00 / $2,179.07	Facility		$1,245.03	$1,561.00	$2,179.07
United Facility/Professional Facility Modifier Low / Median / High Price $676.00 / $4,113.00 / $6,216.00	Facility		$676.00	$4,113.00	$6,216.00