Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,187.76 / $7,943.28	Facility		$1,698.24	$2,187.76	$7,943.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,548.82 / $1,778.28	Professional		$776.25	$1,548.82	$1,778.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,318.26 / $2,818.38	Facility		$851.14	$1,318.26	$2,818.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,584.89 / $1,698.24	Facility		$1,122.02	$1,584.89	$1,698.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,174.90 / $1,995.26	Facility		$758.58	$1,174.90	$1,995.26
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