Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,819.70 / $7,943.28	Facility		$1,348.96	$1,819.70	$7,943.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,479.11 / $1,778.28	Professional		$1,148.15	$1,479.11	$1,778.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $954.99 / $1,584.89	Facility		$630.96	$954.99	$1,584.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,148.15 / $1,412.54	Facility		$741.31	$1,148.15	$1,412.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $954.99 / $1,445.44	Facility		$588.84	$954.99	$1,445.44
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 $1,995.26 / $10,000.00 / $14,125.38	Facility		$1,995.26	$10,000.00	$14,125.38