Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,231.34 / $4,962.67 / $15,341.00	Facility		$1,231.34	$4,962.67	$15,341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,056.09 / $1,240.38 / $1,488.10	Professional		$1,056.09	$1,240.38	$1,488.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $717.51 / $983.52 / $1,309.00	Facility		$717.51	$983.52	$1,309.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $748.07 / $1,034.48 / $1,130.96	Facility		$748.07	$1,034.48	$1,130.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $724.19 / $1,093.54 / $2,919.00	Facility		$724.19	$1,093.54	$2,919.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,820.30 / $4,901.89 / $6,365.28	Facility		$3,820.30	$4,901.89	$6,365.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00