Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,778.28 / $6,606.93	Facility		$758.58	$1,778.28	$6,606.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,412.54 / $1,737.80	Professional		$1,047.13	$1,412.54	$1,737.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,174.90 / $1,905.46	Facility		$741.31	$1,174.90	$1,905.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,445.44 / $1,513.56	Facility		$1,258.93	$1,445.44	$1,513.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,174.90 / $1,737.80	Facility		$758.58	$1,174.90	$1,737.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $3,981.07	Facility		$3,981.07	$3,981.07	$3,981.07
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $4,073.80 / $6,165.95	Facility		$389.05	$4,073.80	$6,165.95