Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,336.10 / $4,684.68 / $8,728.00	Facility		$1,336.10	$4,684.68	$8,728.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,292.64 / $1,539.39 / $1,846.83	Professional		$1,292.64	$1,539.39	$1,846.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $715.27 / $1,066.13 / $1,437.30	Facility		$715.27	$1,066.13	$1,437.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $715.61 / $1,141.60 / $1,407.00	Facility		$715.61	$1,141.60	$1,407.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $717.69 / $1,102.58 / $2,450.00	Facility		$717.69	$1,102.58	$2,450.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $9,638.43 / $12,117.15	Facility		$7,715.78	$9,638.43	$12,117.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00