Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,027.52 / $7,920.26 / $20,400.00	Facility		$2,027.52	$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 $1,857.15 / $2,186.33 / $2,609.76	Professional		$1,857.15	$2,186.33	$2,609.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,420.03 / $1,938.42 / $2,481.15	Facility		$1,420.03	$1,938.42	$2,481.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,439.45 / $1,963.10 / $2,062.26	Facility		$1,439.45	$1,963.10	$2,062.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,420.03 / $2,063.10 / $5,217.00	Facility		$1,420.03	$2,063.10	$5,217.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,536.02 / $8,364.56 / $10,637.18	Facility		$6,536.02	$8,364.56	$10,637.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00