Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $7,943.28 / $13,182.57	Facility		$1,258.93	$7,943.28	$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 $977.24 / $1,288.25 / $1,548.82	Professional		$977.24	$1,288.25	$1,548.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,000.00 / $1,698.24	Facility		$630.96	$1,000.00	$1,698.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,202.26 / $1,288.25	Facility		$1,000.00	$1,202.26	$1,288.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $977.24 / $1,445.44	Facility		$645.65	$977.24	$1,445.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $22,387.21 / $27,542.29	Facility		$16,982.44	$22,387.21	$27,542.29
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $20,892.96 / $31,622.78	Facility		$3,019.95	$20,892.96	$31,622.78