Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $7,920.26 / $20,400.00	Facility		$2,747.00	$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 $2,839.28 / $3,336.87 / $3,989.91	Professional		$2,839.28	$3,336.87	$3,989.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,487.98 / $2,611.44 / $3,779.10	Facility		$1,487.98	$2,611.44	$3,779.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,801.36 / $2,981.50 / $3,110.81	Facility		$1,801.36	$2,981.50	$3,110.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,485.00 / $2,778.84 / $3,957.56	Facility		$1,485.00	$2,778.84	$3,957.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $21,418.17 / $26,781.36	Facility		$16,860.72	$21,418.17	$26,781.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00