Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,120.01 / $7,920.26 / $20,400.00	Facility		$2,120.01	$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 $1,974.56 / $2,314.25 / $2,774.76	Professional		$1,974.56	$2,314.25	$2,774.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,491.27 / $1,926.96 / $3,206.23	Facility		$1,491.27	$1,926.96	$3,206.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,501.95 / $2,057.57 / $2,141.98	Facility		$1,501.95	$2,057.57	$2,141.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,416.71 / $2,043.04 / $2,718.46	Facility		$1,416.71	$2,043.04	$2,718.46
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 $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00