Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $6,025.60 / $81,283.05	Facility		$1,202.26	$6,025.60	$81,283.05
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 / $1,584.89	Professional		$1,047.13	$1,380.38	$1,584.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $977.24 / $6,025.60	Facility		$588.84	$977.24	$6,025.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,174.90 / $1,258.93	Facility		$1,000.00	$1,174.90	$1,258.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $977.24 / $1,479.11	Facility		$602.56	$977.24	$1,479.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $79,432.82 / $100,000.00 / $125,892.54	Facility		$79,432.82	$100,000.00	$125,892.54
United Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $60,255.96 / $190,546.07	Facility		$7,413.10	$60,255.96	$190,546.07