Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,471.75 / $4,684.68 / $8,728.00	Facility		$1,471.75	$4,684.68	$8,728.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,342.53 / $1,582.52 / $1,886.60	Professional		$1,342.53	$1,582.52	$1,886.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $978.31 / $1,391.04 / $1,822.40	Facility		$978.31	$1,391.04	$1,822.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,043.13 / $1,423.97 / $1,471.32	Facility		$1,043.13	$1,423.97	$1,471.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $970.86 / $1,392.52 / $1,871.52	Facility		$970.86	$1,392.52	$1,871.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,199.91 / $4,508.43 / $5,787.58	Facility		$2,199.91	$4,508.43	$5,787.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00