Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,186.32 / $4,962.67 / $15,341.00	Facility		$1,186.32	$4,962.67	$15,341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,110.46 / $1,301.99 / $1,560.48	Professional		$1,110.46	$1,301.99	$1,560.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $433.61 / $1,000.76 / $1,442.45	Facility		$433.61	$1,000.76	$1,442.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $789.13 / $1,133.64 / $1,208.68	Facility		$789.13	$1,133.64	$1,208.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $527.04 / $1,158.47 / $2,402.00	Facility		$527.04	$1,158.47	$2,402.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $26,781.36	Facility		$16,860.72	$22,602.85	$26,781.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00