Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $5,128.61 / $7,943.28	Facility		$1,659.59	$5,128.61	$7,943.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $4,365.16	Facility		$2,398.83	$2,398.83	$4,365.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,659.59 / $1,995.26	Professional		$1,202.26	$1,659.59	$1,995.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,122.02 / $2,041.74	Facility		$812.83	$1,122.02	$2,041.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,584.89 / $1,659.59	Facility		$1,348.96	$1,584.89	$1,659.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,202.26 / $1,949.84	Facility		$776.25	$1,202.26	$1,949.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $8,912.51 / $10,964.78	Facility		$6,606.93	$8,912.51	$10,964.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $11,748.98 / $25,118.86	Facility		$1,995.26	$11,748.98	$25,118.86