Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,162.06 / $4,962.67 / $15,341.00	Facility		$1,162.06	$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 $1,123.53 / $1,316.01 / $1,578.84	Professional		$1,123.53	$1,316.01	$1,578.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $821.38 / $1,082.16 / $1,412.70	Facility		$821.38	$1,082.16	$1,412.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $809.60 / $1,118.90 / $1,210.69	Facility		$809.60	$1,118.90	$1,210.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $821.38 / $1,171.65 / $2,919.00	Facility		$821.38	$1,171.65	$2,919.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $10,171.54 / $12,117.15	Facility		$7,715.78	$10,171.54	$12,117.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,529.00 / $12,786.00	Facility		$1,981.00	$9,529.00	$12,786.00