Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,281.53 / $9,338.46 / $20,968.29	Facility		$1,281.53	$9,338.46	$20,968.29
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 $1,212.97 / $1,420.77 / $1,704.52	Professional		$1,212.97	$1,420.77	$1,704.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $849.86 / $1,231.56 / $1,592.05	Facility		$849.86	$1,231.56	$1,592.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $907.95 / $1,233.35 / $1,314.54	Facility		$907.95	$1,233.35	$1,314.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $855.79 / $1,304.55 / $2,748.00	Facility		$855.79	$1,304.55	$2,748.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $26,781.36	Facility		$16,860.72	$22,602.85	$26,781.36
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