Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,020.69 / $7,920.26 / $20,400.00	Facility		$2,020.69	$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 $1,890.66 / $2,214.58 / $2,656.86	Professional		$1,890.66	$2,214.58	$2,656.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,351.14 / $1,843.88 / $2,457.35	Facility		$1,351.14	$1,843.88	$2,457.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,409.41 / $1,937.64 / $2,058.91	Facility		$1,409.41	$1,937.64	$2,058.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,351.18 / $2,021.69 / $3,540.60	Facility		$1,351.18	$2,021.69	$3,540.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33,543.33 / $42,249.68 / $50,743.40	Facility		$33,543.33	$42,249.68	$50,743.40
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