Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,473.57 / $2,747.00 / $7,920.26	Facility		$1,473.57	$2,747.00	$7,920.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,357.08 / $1,648.70 / $2,052.53	Professional		$1,357.08	$1,648.70	$2,052.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $851.18 / $1,319.06 / $1,983.96	Facility		$851.18	$1,319.06	$1,983.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,009.20 / $1,564.33 / $1,744.01	Facility		$1,009.20	$1,564.33	$1,744.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $851.18 / $1,363.41 / $2,461.17	Facility		$851.18	$1,363.41	$2,461.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $28,333.44	Facility		$16,860.72	$22,602.85	$28,333.44
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