Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,819.70 / $13,182.57	Facility		$1,412.54	$1,819.70	$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 $1,071.52 / $1,412.54 / $1,698.24	Professional		$1,071.52	$1,412.54	$1,698.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,148.15 / $1,737.80	Facility		$707.95	$1,148.15	$1,737.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,348.96 / $1,445.44	Facility		$1,148.15	$1,348.96	$1,445.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,148.15 / $1,659.59	Facility		$707.95	$1,148.15	$1,659.59
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