Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,073.41 / $7,920.26 / $20,400.00	Facility		$2,073.41	$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 $1,761.08 / $2,062.79 / $2,474.76	Professional		$1,761.08	$2,062.79	$2,474.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,313.50 / $1,764.49 / $2,547.25	Facility		$1,313.50	$1,764.49	$2,547.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,307.32 / $1,741.00 / $1,931.61	Facility		$1,307.32	$1,741.00	$1,931.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,313.50 / $1,799.50 / $2,457.60	Facility		$1,313.50	$1,799.50	$2,457.60
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