Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $7,920.26 / $20,400.00	Facility		$1,758.00	$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 $1,634.74 / $1,914.81 / $2,297.21	Professional		$1,634.74	$1,914.81	$2,297.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $884.82 / $1,565.86 / $2,128.40	Facility		$884.82	$1,565.86	$2,128.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,180.00 / $1,678.35 / $1,773.49	Facility		$1,180.00	$1,678.35	$1,773.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $937.60 / $1,712.66 / $3,049.78	Facility		$937.60	$1,712.66	$3,049.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $26,781.36	Facility		$16,860.72	$22,602.85	$26,781.36
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