Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,041.74 / $7,943.28	Facility		$1,548.82	$2,041.74	$7,943.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,584.89 / $1,905.46	Professional		$1,202.26	$1,584.89	$1,905.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,174.90 / $1,905.46	Facility		$758.58	$1,174.90	$1,905.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,479.11 / $1,621.81	Facility		$1,174.90	$1,479.11	$1,621.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,174.90 / $1,778.28	Facility		$776.25	$1,174.90	$1,778.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $6,165.95 / $7,413.10	Facility		$4,897.79	$6,165.95	$7,413.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $9,120.11 / $12,882.50	Facility		$1,995.26	$9,120.11	$12,882.50