Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,819.70 / $7,943.28	Facility		$1,380.38	$1,819.70	$7,943.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,412.54 / $1,698.24	Professional		$1,047.13	$1,412.54	$1,698.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,071.52 / $1,698.24	Facility		$691.83	$1,071.52	$1,698.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,318.26 / $1,412.54	Facility		$1,096.48	$1,318.26	$1,412.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,071.52 / $1,513.56	Facility		$707.95	$1,071.52	$1,513.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $10,232.93 / $12,302.69	Facility		$7,762.47	$10,232.93	$12,302.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $12,882.50 / $26,302.68	Facility		$2,137.96	$12,882.50	$26,302.68