Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,403.73 / $4,962.67 / $7,920.26	Facility		$1,403.73	$4,962.67	$7,920.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,329.74 / $1,579.77 / $1,895.27	Professional		$1,329.74	$1,579.77	$1,895.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $857.61 / $1,212.30 / $1,585.25	Facility		$857.61	$1,212.30	$1,585.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $854.52 / $1,232.80 / $1,433.80	Facility		$854.52	$1,232.80	$1,433.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $861.46 / $1,315.46 / $2,919.00	Facility		$861.46	$1,315.46	$2,919.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $9,638.43 / $12,117.15	Facility		$7,715.78	$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