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 / $15,848.93	Facility		$1,548.82	$2,041.74	$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 $707.95 / $1,412.54 / $1,621.81	Professional		$707.95	$1,412.54	$1,621.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,202.26 / $2,511.89	Facility		$794.33	$1,202.26	$2,511.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,479.11 / $1,548.82	Facility		$1,122.02	$1,479.11	$1,548.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,202.26 / $1,995.26	Facility		$776.25	$1,202.26	$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 $1,698.24 / $5,754.40 / $10,000.00	Facility		$1,698.24	$5,754.40	$10,000.00