Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,879.89 / $2,747.00 / $13,320.00	Facility		$1,879.89	$2,747.00	$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 $1,826.39 / $2,272.96 / $2,679.78	Professional		$1,826.39	$2,272.96	$2,679.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $971.37 / $1,634.62 / $2,301.80	Facility		$971.37	$1,634.62	$2,301.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,154.14 / $1,778.74 / $2,198.94	Facility		$1,154.14	$1,778.74	$2,198.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,021.08 / $1,689.06 / $2,928.69	Facility		$1,021.08	$1,689.06	$2,928.69
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