Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,514.81 / $4,684.68 / $8,728.00	Facility		$1,514.81	$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 $1,405.62 / $1,671.35 / $2,005.15	Professional		$1,405.62	$1,671.35	$2,005.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $954.05 / $1,361.52 / $1,728.90	Facility		$954.05	$1,361.52	$1,728.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $972.39 / $1,344.69 / $1,522.24	Facility		$972.39	$1,344.69	$1,522.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $974.12 / $1,464.20 / $2,573.00	Facility		$974.12	$1,464.20	$2,573.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $10,171.54 / $12,117.15	Facility		$7,715.78	$10,171.54	$12,117.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00