Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,048.70 / $2,747.00 / $7,920.26	Facility		$1,048.70	$2,747.00	$7,920.26
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 $1,096.04 / $1,330.91 / $1,706.39	Professional		$1,096.04	$1,330.91	$1,706.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $662.31 / $1,087.25 / $1,592.61	Facility		$662.31	$1,087.25	$1,592.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $822.09 / $1,288.28 / $1,437.15	Facility		$822.09	$1,288.28	$1,437.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $700.16 / $1,146.63 / $1,944.69	Facility		$700.16	$1,146.63	$1,944.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,820.30 / $4,901.89 / $6,365.28	Facility		$3,820.30	$4,901.89	$6,365.28
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