Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $7,943.28 / $23,988.33	Facility		$1,174.90	$7,943.28	$23,988.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility		$1,122.02	$1,122.02	$1,122.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,412.54 / $1,584.89	Professional		$691.83	$1,412.54	$1,584.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,174.90 / $2,511.89	Facility		$776.25	$1,174.90	$2,511.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,445.44 / $1,513.56	Facility		$1,071.52	$1,445.44	$1,513.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,174.90 / $1,949.84	Facility		$758.58	$1,174.90	$1,949.84
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $891.25 / $891.25 / $891.25	Facility	54	$891.25	$891.25	$891.25
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