Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $932.65 / $1,573.60 / $7,920.26	Facility		$932.65	$1,573.60	$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 $1,177.66 / $1,386.81 / $1,654.91	Professional		$1,177.66	$1,386.81	$1,654.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $899.48 / $1,197.83 / $1,614.33	Facility		$899.48	$1,197.83	$1,614.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $922.49 / $1,248.03 / $1,304.49	Facility		$922.49	$1,248.03	$1,304.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $899.48 / $1,222.02 / $1,658.71	Facility		$899.48	$1,222.02	$1,658.71
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