Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,213.29 / $5,116.62 / $81,497.61	Facility		$1,213.29	$5,116.62	$81,497.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,114.05 / $1,307.88 / $1,565.52	Professional		$1,114.05	$1,307.88	$1,565.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $820.10 / $1,159.61 / $1,735.50	Facility		$820.10	$1,159.61	$1,735.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $914.25 / $1,177.02 / $1,264.29	Facility		$914.25	$1,177.02	$1,264.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $820.10 / $1,271.67 / $1,586.10	Facility		$820.10	$1,271.67	$1,586.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $80,087.00 / $100,320.86 / $122,981.33	Facility		$80,087.00	$100,320.86	$122,981.33
United Facility/Professional Facility Modifier Low / Median / High Price $7,425.00 / $57,498.00 / $90,630.00	Facility		$7,425.00	$57,498.00	$90,630.00