Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $6,165.95 / $17,378.01	Facility		$1,348.96	$6,165.95	$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 / $1,380.38 / $1,621.81	Professional		$1,023.29	$1,380.38	$1,621.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,096.48 / $1,862.09	Facility		$660.69	$1,096.48	$1,862.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,288.25 / $1,380.38	Facility		$1,096.48	$1,288.25	$1,380.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,047.13 / $1,621.81	Facility		$676.08	$1,047.13	$1,621.81
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 $3,019.95 / $17,378.01 / $26,302.68	Facility		$3,019.95	$17,378.01	$26,302.68