Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,401.86 / $4,962.67 / $15,341.00	Facility		$1,401.86	$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 $1,197.02 / $1,403.27 / $1,683.52	Professional		$1,197.02	$1,403.27	$1,683.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $833.40 / $1,159.40 / $1,513.85	Facility		$833.40	$1,159.40	$1,513.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $865.32 / $1,183.89 / $1,285.73	Facility		$865.32	$1,183.89	$1,285.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $847.58 / $1,253.51 / $2,919.00	Facility		$847.58	$1,253.51	$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 $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00