Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.80 / $4,962.67 / $7,920.26	Facility		$1,380.80	$4,962.67	$7,920.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,253.71 / $1,586.05 / $1,896.19	Professional		$1,253.71	$1,586.05	$1,896.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $837.06 / $1,223.42 / $1,866.67	Facility		$837.06	$1,223.42	$1,866.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $957.98 / $1,439.12 / $1,561.77	Facility		$957.98	$1,439.12	$1,561.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $841.78 / $1,288.23 / $2,158.50	Facility		$841.78	$1,288.23	$2,158.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,382.73 / $9,212.20 / $12,052.68	Facility		$7,382.73	$9,212.20	$12,052.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00