Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,862.09 / $13,182.57	Facility		$1,445.44	$1,862.09	$13,182.57
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 $1,096.48 / $1,445.44 / $1,737.80	Professional		$1,096.48	$1,445.44	$1,737.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,096.48 / $1,778.28	Facility		$707.95	$1,096.48	$1,778.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,412.54 / $1,479.11	Facility		$1,047.13	$1,412.54	$1,479.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,122.02 / $1,698.24	Facility		$724.44	$1,122.02	$1,698.24
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