Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $7,920.26 / $20,400.00	Facility		$2,747.00	$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 $4,423.45 / $5,212.18 / $6,216.07	Professional		$4,423.45	$5,212.18	$6,216.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,323.35 / $4,486.52 / $6,469.94	Facility		$3,323.35	$4,486.52	$6,469.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,385.90 / $4,526.52 / $4,962.02	Facility		$3,385.90	$4,526.52	$4,962.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,323.35 / $4,620.66 / $6,289.87	Facility		$3,323.35	$4,620.66	$6,289.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,898.62 / $20,285.91 / $26,041.52	Facility		$9,898.62	$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