Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,133.74 / $4,684.68 / $8,728.00	Facility		$1,133.74	$4,684.68	$8,728.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,038.47 / $1,231.08 / $1,459.31	Professional		$1,038.47	$1,231.08	$1,459.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $786.96 / $1,078.14 / $1,617.95	Facility		$786.96	$1,078.14	$1,617.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $824.13 / $1,107.89 / $1,181.21	Facility		$824.13	$1,107.89	$1,181.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $786.96 / $1,125.34 / $1,501.68	Facility		$786.96	$1,125.34	$1,501.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,016.69 / $3,016.69 / $3,016.69	Facility		$3,016.69	$3,016.69	$3,016.69
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00