Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,778.28 / $13,182.57	Facility		$1,380.38	$1,778.28	$13,182.57
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 $1,047.13 / $1,412.54 / $1,659.59	Professional		$1,047.13	$1,412.54	$1,659.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,047.13 / $1,698.24	Facility		$676.08	$1,047.13	$1,698.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,318.26 / $1,412.54	Facility		$1,122.02	$1,318.26	$1,412.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,047.13 / $1,513.56	Facility		$691.83	$1,047.13	$1,513.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $7,585.78 / $12,302.69	Facility		$3,090.30	$7,585.78	$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