Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $7,943.28 / $13,182.57	Facility		$1,230.27	$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 $1,023.29 / $1,288.25 / $1,584.89	Professional		$1,023.29	$1,288.25	$1,584.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,000.00 / $1,513.56	Facility		$616.60	$1,000.00	$1,513.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,122.02 / $1,230.27	Facility		$812.83	$1,122.02	$1,230.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $977.24 / $1,380.38	Facility		$630.96	$977.24	$1,380.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $10,232.93 / $12,302.69	Facility		$7,762.47	$10,232.93	$12,302.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,754.40 / $14,125.38	Facility		$1,698.24	$5,754.40	$14,125.38