Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,390.19 / $2,747.00 / $7,920.26	Facility		$1,390.19	$2,747.00	$7,920.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,434.50 / $1,739.75 / $2,169.63	Professional		$1,434.50	$1,739.75	$2,169.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $976.64 / $1,374.95 / $2,129.78	Facility		$976.64	$1,374.95	$2,129.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,106.71 / $1,596.89 / $1,953.72	Facility		$1,106.71	$1,596.89	$1,953.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $976.64 / $1,446.98 / $2,471.80	Facility		$976.64	$1,446.98	$2,471.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,820.30 / $4,901.89 / $6,365.28	Facility		$3,820.30	$4,901.89	$6,365.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00