Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,316.98 / $2,747.00 / $7,920.26	Facility		$1,316.98	$2,747.00	$7,920.26
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 $1,215.48 / $1,436.22 / $1,708.05	Professional		$1,215.48	$1,436.22	$1,708.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $917.71 / $1,250.28 / $1,675.08	Facility		$917.71	$1,250.28	$1,675.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $954.39 / $1,292.50 / $1,344.69	Facility		$954.39	$1,292.50	$1,344.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $917.71 / $1,257.26 / $1,712.77	Facility		$917.71	$1,257.26	$1,712.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23,802.20 / $51,381.00 / $65,959.06	Facility		$23,802.20	$51,381.00	$65,959.06
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $26,100.00 / $51,981.00	Facility		$3,340.00	$26,100.00	$51,981.00