Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,405.20 / $2,747.00 / $7,920.26	Facility		$1,405.20	$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 $1,285.33 / $1,516.27 / $1,806.22	Professional		$1,285.33	$1,516.27	$1,806.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $981.65 / $1,319.28 / $1,761.20	Facility		$981.65	$1,319.28	$1,761.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,012.61 / $1,364.54 / $1,429.11	Facility		$1,012.61	$1,364.54	$1,429.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $981.65 / $1,333.62 / $1,826.89	Facility		$981.65	$1,333.62	$1,826.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,397.43 / $20,285.91 / $26,041.52	Facility		$9,397.43	$20,285.91	$26,041.52
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00