Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,737.80 / $7,943.28	Facility		$1,047.13	$1,737.80	$7,943.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,380.38 / $1,659.59	Professional		$1,000.00	$1,380.38	$1,659.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $954.99 / $1,659.59	Facility		$691.83	$954.99	$1,659.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,348.96 / $1,412.54	Facility		$977.24	$1,348.96	$1,412.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $977.24 / $1,621.81	Facility		$676.08	$977.24	$1,621.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $6,025.60 / $7,413.10	Facility		$4,365.16	$6,025.60	$7,413.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $8,128.31 / $12,022.64	Facility		$1,621.81	$8,128.31	$12,022.64