Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,519.44 / $4,962.67 / $15,341.00	Facility		$1,519.44	$4,962.67	$15,341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,385.88 / $1,624.04 / $1,947.51	Professional		$1,385.88	$1,624.04	$1,947.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,069.99 / $1,408.29 / $1,870.00	Facility		$1,069.99	$1,408.29	$1,870.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,071.23 / $1,461.53 / $1,504.84	Facility		$1,071.23	$1,461.53	$1,504.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,069.99 / $1,530.09 / $2,919.00	Facility		$1,069.99	$1,530.09	$2,919.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,873.02 / $21,418.17 / $26,781.36	Facility		$11,873.02	$21,418.17	$26,781.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00