Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $966.67 / $2,747.00 / $14,790.87	Facility		$966.67	$2,747.00	$14,790.87
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 $1,093.17 / $1,331.22 / $1,653.38	Professional		$1,093.17	$1,331.22	$1,653.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $775.00 / $1,141.32 / $1,755.26	Facility		$775.00	$1,141.32	$1,755.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $886.88 / $1,342.56 / $1,549.04	Facility		$886.88	$1,342.56	$1,549.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $775.58 / $1,173.32 / $2,095.56	Facility		$775.58	$1,173.32	$2,095.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $9,638.43 / $12,117.15	Facility		$7,715.78	$9,638.43	$12,117.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00