Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,949.84 / $7,943.28	Facility		$1,230.27	$1,949.84	$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 $1,148.15 / $1,584.89 / $2,137.96	Professional		$1,148.15	$1,584.89	$2,137.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,174.90 / $1,995.26	Facility		$660.69	$1,174.90	$1,995.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,659.59 / $1,737.80	Facility		$1,230.27	$1,659.59	$1,737.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,174.90 / $1,819.70	Facility		$660.69	$1,174.90	$1,819.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $22,387.21 / $28,183.83	Facility		$16,982.44	$22,387.21	$28,183.83
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