Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,659.59 / $7,943.28	Facility		$1,258.93	$1,659.59	$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 $1,023.29 / $1,348.96 / $1,584.89	Professional		$1,023.29	$1,348.96	$1,584.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,000.00 / $1,445.44	Facility		$630.96	$1,000.00	$1,445.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,148.15 / $1,288.25	Facility		$812.83	$1,148.15	$1,288.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $954.99 / $1,380.38	Facility		$630.96	$954.99	$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