Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,778.28 / $13,182.57	Facility		$1,412.54	$1,778.28	$13,182.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $1,659.59	Professional		$1,047.13	$1,380.38	$1,659.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,096.48 / $1,819.70	Facility		$691.83	$1,096.48	$1,819.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,380.38 / $1,412.54	Facility		$1,096.48	$1,380.38	$1,412.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,096.48 / $1,659.59	Facility		$707.95	$1,096.48	$1,659.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $10,232.93 / $12,302.69	Facility		$7,762.47	$10,232.93	$12,302.69
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $11,481.54 / $15,135.61 / $18,620.87	Facility	50	$11,481.54	$15,135.61	$18,620.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,000.00 / $14,125.38	Facility		$1,995.26	$10,000.00	$14,125.38