Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,862.09 / $13,182.57	Facility		$1,445.44	$1,862.09	$13,182.57
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 $1,096.48 / $1,445.44 / $1,737.80	Professional		$1,096.48	$1,445.44	$1,737.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,122.02 / $1,778.28	Facility		$707.95	$1,122.02	$1,778.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,380.38 / $1,445.44	Facility		$1,174.90	$1,380.38	$1,445.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,122.02 / $1,584.89	Facility		$724.44	$1,122.02	$1,584.89
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