Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,261.35 / $3,214.30 / $13,320.00	Facility		$2,261.35	$3,214.30	$13,320.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,159.46 / $2,690.43 / $3,123.23	Professional		$2,159.46	$2,690.43	$3,123.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,313.98 / $2,200.29 / $3,243.60	Facility		$1,313.98	$2,200.29	$3,243.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,590.96 / $2,408.78 / $2,613.71	Facility		$1,590.96	$2,408.78	$2,613.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,495.22 / $2,272.42 / $3,694.07	Facility		$1,495.22	$2,272.42	$3,694.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,671.70 / $18,246.18 / $21,922.68	Facility		$13,671.70	$18,246.18	$21,922.68
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00