Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,915.41 / $7,920.26 / $20,400.00	Facility		$1,915.41	$7,920.26	$20,400.00
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 $1,605.62 / $1,881.84 / $2,256.31	Professional		$1,605.62	$1,881.84	$2,256.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,187.40 / $1,567.36 / $2,159.00	Facility		$1,187.40	$1,567.36	$2,159.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,222.88 / $1,660.93 / $1,738.76	Facility		$1,222.88	$1,660.93	$1,738.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,187.40 / $1,734.32 / $2,989.86	Facility		$1,187.40	$1,734.32	$2,989.86
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