Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,698.24 / $7,943.28	Facility		$1,288.25	$1,698.24	$7,943.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,380.38 / $1,659.59	Professional		$1,096.48	$1,380.38	$1,659.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,000.00 / $1,513.56	Facility		$645.65	$1,000.00	$1,513.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,174.90 / $1,318.26	Facility		$831.76	$1,174.90	$1,318.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $977.24 / $1,412.54	Facility		$630.96	$977.24	$1,412.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $10,232.93 / $12,302.69	Facility		$6,309.57	$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