Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,704.65 / $2,792.00 / $7,920.26	Facility		$1,704.65	$2,792.00	$7,920.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,816.22 / $2,134.54 / $2,552.26	Professional		$1,816.22	$2,134.54	$2,552.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,316.61 / $1,777.54 / $2,459.90	Facility		$1,316.61	$1,777.54	$2,459.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,385.19 / $1,887.39 / $1,984.24	Facility		$1,385.19	$1,887.39	$1,984.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,271.72 / $1,815.12 / $2,529.67	Facility		$1,271.72	$1,815.12	$2,529.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,493.64 / $17,289.84 / $21,922.68	Facility		$13,493.64	$17,289.84	$21,922.68
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