Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,454.71 / $7,943.28	Facility		$1,819.70	$2,454.71	$7,943.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,905.46 / $2,238.72	Professional		$1,412.54	$1,905.46	$2,238.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,412.54 / $2,238.72	Facility		$912.01	$1,412.54	$2,238.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,737.80 / $1,905.46	Facility		$1,288.25	$1,737.80	$1,905.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,380.38 / $1,995.26	Facility		$912.01	$1,380.38	$1,995.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $10,000.00 / $26,302.68	Facility		$6,918.31	$10,000.00	$26,302.68
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $17,378.01 / $26,302.68	Facility		$3,019.95	$17,378.01	$26,302.68