Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,152.84 / $2,747.00 / $7,920.26	Facility		$1,152.84	$2,747.00	$7,920.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,145.77 / $1,378.42 / $1,569.15	Professional		$1,145.77	$1,378.42	$1,569.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $628.54 / $1,074.33 / $1,497.70	Facility		$628.54	$1,074.33	$1,497.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $831.14 / $1,161.32 / $1,278.35	Facility		$831.14	$1,161.32	$1,278.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $644.15 / $1,074.33 / $1,686.44	Facility		$644.15	$1,074.33	$1,686.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $9,638.43 / $12,117.15	Facility		$7,715.78	$9,638.43	$12,117.15
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