Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,905.46 / $13,182.57	Facility		$1,445.44	$1,905.46	$13,182.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,380.38 / $1,584.89	Professional		$676.08	$1,380.38	$1,584.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,122.02 / $2,398.83	Facility		$741.31	$1,122.02	$2,398.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,318.26 / $1,479.11	Facility		$954.99	$1,318.26	$1,479.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,096.48 / $1,778.28	Facility		$691.83	$1,096.48	$1,778.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $12,302.69 / $14,454.40	Facility		$8,912.51	$12,302.69	$14,454.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $13,182.57 / $26,302.68	Facility		$2,137.96	$13,182.57	$26,302.68