Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,296.46 / $4,684.68 / $8,728.00	Facility		$1,296.46	$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 $1,210.55 / $1,439.17 / $1,726.59	Professional		$1,210.55	$1,439.17	$1,726.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $782.86 / $1,120.91 / $1,452.16	Facility		$782.86	$1,120.91	$1,452.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $788.77 / $1,097.27 / $1,315.21	Facility		$788.77	$1,097.27	$1,315.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $802.52 / $1,204.81 / $2,450.00	Facility		$802.52	$1,204.81	$2,450.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,364.17 / $9,638.43 / $12,117.15	Facility		$6,364.17	$9,638.43	$12,117.15
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