Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,290.87 / $15,848.93	Facility		$1,778.28	$2,290.87	$15,848.93
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 $1,348.96 / $1,778.28 / $2,137.96	Professional		$1,348.96	$1,778.28	$2,137.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,318.26 / $2,137.96	Facility		$851.14	$1,318.26	$2,137.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,659.59 / $1,778.28	Facility		$1,380.38	$1,659.59	$1,778.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,318.26 / $1,905.46	Facility		$851.14	$1,318.26	$1,905.46
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