Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,659.59 / $15,848.93	Facility		$1,288.25	$1,659.59	$15,848.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Facility		$977.24	$977.24	$977.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,174.90 / $1,318.26	Professional		$575.44	$1,174.90	$1,318.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,000.00 / $2,089.30	Facility		$660.69	$1,000.00	$2,089.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,202.26 / $1,288.25	Facility		$933.25	$1,202.26	$1,288.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,000.00 / $1,548.82	Facility		$645.65	$1,000.00	$1,548.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $7,413.10 / $8,912.51	Facility		$5,754.40	$7,413.10	$8,912.51
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $9,549.93 / $12,882.50	Facility		$1,995.26	$9,549.93	$12,882.50