Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,067.19 / $4,684.68 / $8,728.00	Facility		$1,067.19	$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 $1,025.81 / $1,204.48 / $1,445.03	Professional		$1,025.81	$1,204.48	$1,445.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $695.92 / $964.80 / $1,292.00	Facility		$695.92	$964.80	$1,292.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $735.96 / $1,011.68 / $1,102.82	Facility		$735.96	$1,011.68	$1,102.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $703.20 / $1,061.06 / $2,450.00	Facility		$703.20	$1,061.06	$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