Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $5,495.41 / $17,378.01	Facility		$1,318.26	$5,495.41	$17,378.01
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 $1,023.29 / $1,348.96 / $1,621.81	Professional		$1,023.29	$1,348.96	$1,621.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,047.13 / $1,819.70	Facility		$660.69	$1,047.13	$1,819.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,288.25 / $1,348.96	Facility		$1,047.13	$1,288.25	$1,348.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,023.29 / $1,584.89	Facility		$660.69	$1,023.29	$1,584.89
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
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $12,882.50 / $26,302.68	Facility		$2,137.96	$12,882.50	$26,302.68