Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,076.05 / $2,747.00 / $7,920.26	Facility		$1,076.05	$2,747.00	$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 $1,022.35 / $1,197.51 / $1,436.67	Professional		$1,022.35	$1,197.51	$1,436.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $720.95 / $994.48 / $1,311.55	Facility		$720.95	$994.48	$1,311.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $751.94 / $1,026.44 / $1,106.17	Facility		$751.94	$1,026.44	$1,106.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $1,082.50 / $2,919.00	Facility		$736.00	$1,082.50	$2,919.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,536.02 / $8,364.56 / $10,637.18	Facility		$6,536.02	$8,364.56	$10,637.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00