Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,073.13 / $7,920.26 / $17,912.22	Facility		$1,073.13	$7,920.26	$17,912.22
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 $1,011.34 / $1,184.60 / $1,421.19	Professional		$1,011.34	$1,184.60	$1,421.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $758.05 / $982.70 / $1,310.70	Facility		$758.05	$982.70	$1,310.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $748.55 / $1,028.45 / $1,098.80	Facility		$748.55	$1,028.45	$1,098.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $758.28 / $1,079.06 / $5,217.00	Facility		$758.28	$1,079.06	$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 / $12,186.07 / $26,404.00	Facility		$2,155.00	$12,186.07	$26,404.00