Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,200.46 / $9,972.00 / $17,263.14	Facility		$1,200.46	$9,972.00	$17,263.14
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 $1,119.63 / $1,325.61 / $1,573.36	Professional		$1,119.63	$1,325.61	$1,573.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $833.88 / $1,161.57 / $1,564.11	Facility		$833.88	$1,161.57	$1,564.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $871.62 / $1,192.97 / $1,250.22	Facility		$871.62	$1,192.97	$1,250.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $833.88 / $1,192.45 / $1,588.34	Facility		$833.88	$1,192.45	$1,588.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,397.43 / $20,285.91 / $26,041.52	Facility		$9,397.43	$20,285.91	$26,041.52
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00