Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.19 / $4,684.68 / $8,728.00	Facility		$1,348.19	$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 $1,277.34 / $1,500.41 / $1,800.07	Professional		$1,277.34	$1,500.41	$1,800.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $831.38 / $1,150.56 / $1,519.80	Facility		$831.38	$1,150.56	$1,519.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $871.13 / $1,204.66 / $1,385.56	Facility		$871.13	$1,204.66	$1,385.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $866.68 / $1,276.84 / $2,450.00	Facility		$866.68	$1,276.84	$2,450.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $10,171.54 / $12,117.15	Facility		$7,715.78	$10,171.54	$12,117.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00