Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,659.59 / $7,943.28	Facility		$1,288.25	$1,659.59	$7,943.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,318.26 / $1,548.82	Professional		$1,000.00	$1,318.26	$1,548.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,023.29 / $1,584.89	Facility		$645.65	$1,023.29	$1,584.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,258.93 / $1,318.26	Facility		$1,000.00	$1,258.93	$1,318.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,023.29 / $1,445.44	Facility		$660.69	$1,023.29	$1,445.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $10,232.93 / $12,302.69	Facility		$7,762.47	$10,232.93	$12,302.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $12,882.50 / $26,302.68	Facility		$2,137.96	$12,882.50	$26,302.68