Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,905.46 / $13,182.57	Facility		$1,445.44	$1,905.46	$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 / $1,479.11 / $1,778.28	Professional		$1,096.48	$1,479.11	$1,778.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,023.29 / $1,778.28	Facility		$660.69	$1,023.29	$1,778.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,380.38 / $1,479.11	Facility		$831.76	$1,380.38	$1,479.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,000.00 / $1,513.56	Facility		$660.69	$1,000.00	$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