Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,472.17 / $7,920.26 / $20,400.00	Facility		$2,472.17	$7,920.26	$20,400.00
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 $2,068.14 / $2,437.30 / $2,906.26	Professional		$2,068.14	$2,437.30	$2,906.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,615.05 / $2,029.88 / $3,472.36	Facility		$1,615.05	$2,029.88	$3,472.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,493.04 / $2,193.41 / $2,326.28	Facility		$1,493.04	$2,193.41	$2,326.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,534.30 / $2,160.84 / $2,925.26	Facility		$1,534.30	$2,160.84	$2,925.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,536.02 / $8,827.21 / $11,253.64	Facility		$6,536.02	$8,827.21	$11,253.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00