Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,194.82 / $5,862.78 / $13,336.62	Facility		$1,194.82	$5,862.78	$13,336.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,023.77 / $1,203.74 / $1,444.14	Professional		$1,023.77	$1,203.74	$1,444.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $723.07 / $974.25 / $1,285.20	Facility		$723.07	$974.25	$1,285.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $728.20 / $1,007.01 / $1,101.48	Facility		$728.20	$1,007.01	$1,101.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $724.59 / $1,065.58 / $5,217.00	Facility		$724.59	$1,065.58	$5,217.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $10,171.54 / $12,117.15	Facility		$7,715.78	$10,171.54	$12,117.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00