Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,778.28 / $7,943.28	Facility		$1,348.96	$1,778.28	$7,943.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,445.44 / $1,659.59	Professional		$1,096.48	$1,445.44	$1,659.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,071.52 / $1,659.59	Facility		$691.83	$1,071.52	$1,659.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,318.26 / $1,380.38	Facility		$1,023.29	$1,318.26	$1,380.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,071.52 / $1,513.56	Facility		$691.83	$1,071.52	$1,513.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $5,011.87 / $6,025.60	Facility		$3,801.89	$5,011.87	$6,025.60
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $4,365.16 / $6,918.31	Facility		$389.05	$4,365.16	$6,918.31