Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $10,964.78 / $21,877.62	Facility		$1,380.38	$10,964.78	$21,877.62
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 / $1,230.27 / $14,125.38	Facility		$691.83	$1,230.27	$14,125.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,348.96 / $1,412.54	Facility		$1,122.02	$1,348.96	$1,412.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,071.52 / $1,659.59	Facility		$691.83	$1,071.52	$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
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