Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $7,943.28 / $16,595.87	Facility		$1,202.26	$7,943.28	$16,595.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,258.93 / $1,479.11	Professional		$954.99	$1,258.93	$1,479.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,000.00 / $1,548.82	Facility		$616.60	$1,000.00	$1,548.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,174.90 / $1,230.27	Facility		$1,000.00	$1,174.90	$1,230.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $954.99 / $1,412.54	Facility		$616.60	$954.99	$1,412.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $22,387.21 / $27,542.29	Facility		$16,982.44	$22,387.21	$27,542.29
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $20,892.96 / $31,622.78	Facility		$3,019.95	$20,892.96	$31,622.78