Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,389.11 / $2,747.00 / $7,920.26	Facility		$1,389.11	$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 $1,257.85 / $1,485.13 / $1,767.61	Professional		$1,257.85	$1,485.13	$1,767.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $970.09 / $1,309.61 / $1,786.86	Facility		$970.09	$1,309.61	$1,786.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,003.88 / $1,336.52 / $1,407.00	Facility		$1,003.88	$1,336.52	$1,407.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $970.09 / $1,334.46 / $1,780.56	Facility		$970.09	$1,334.46	$1,780.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18,472.14 / $39,875.19 / $51,188.76	Facility		$18,472.14	$39,875.19	$51,188.76
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