Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,560.74 / $7,920.26 / $20,400.00	Facility		$1,560.74	$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 $1,325.48 / $1,552.57 / $1,862.64	Professional		$1,325.48	$1,552.57	$1,862.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $991.80 / $1,297.56 / $1,702.55	Facility		$991.80	$1,297.56	$1,702.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $978.95 / $1,332.63 / $1,433.80	Facility		$978.95	$1,332.63	$1,433.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $991.80 / $1,415.42 / $5,217.00	Facility		$991.80	$1,415.42	$5,217.00
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 $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00