Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,949.84 / $13,803.84	Facility		$1,479.11	$1,949.84	$13,803.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,548.82 / $1,819.70	Professional		$1,174.90	$1,548.82	$1,819.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,148.15 / $1,737.80	Facility		$741.31	$1,148.15	$1,737.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,348.96 / $1,513.56	Facility		$1,000.00	$1,348.96	$1,513.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,148.15 / $1,621.81	Facility		$741.31	$1,148.15	$1,621.81
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 $2,137.96 / $12,882.50 / $26,302.68	Facility		$2,137.96	$12,882.50	$26,302.68