Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $1,862.09 / $7,943.28	Facility		$181.97	$1,862.09	$7,943.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,479.11 / $2,137.96	Professional		$1,096.48	$1,479.11	$2,137.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,122.02 / $1,819.70	Facility		$660.69	$1,122.02	$1,819.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,584.89 / $1,659.59	Facility		$1,122.02	$1,584.89	$1,659.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,122.02 / $1,698.24	Facility		$676.08	$1,122.02	$1,698.24
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