Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,764.52 / $7,920.26 / $23,856.49	Facility		$4,764.52	$7,920.26	$23,856.49
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 $4,383.82 / $5,166.49 / $6,160.38	Professional		$4,383.82	$5,166.49	$6,160.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,329.18 / $4,465.68 / $5,866.70	Facility		$3,329.18	$4,465.68	$5,866.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,418.15 / $4,636.39 / $4,911.77	Facility		$3,418.15	$4,636.39	$4,911.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,329.18 / $4,548.32 / $6,248.68	Facility		$3,329.18	$4,548.32	$6,248.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23,802.20 / $51,381.00 / $65,959.06	Facility		$23,802.20	$51,381.00	$65,959.06
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $26,100.00 / $51,981.00	Facility		$3,340.00	$26,100.00	$51,981.00