Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,603.63 / $7,920.26 / $20,400.00	Facility		$1,603.63	$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 $1,362.69 / $1,596.15 / $1,914.92	Professional		$1,362.69	$1,596.15	$1,914.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $717.00 / $1,021.02 / $1,744.66	Facility		$717.00	$1,021.02	$1,744.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $823.99 / $1,371.57 / $1,477.35	Facility		$823.99	$1,371.57	$1,477.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $737.57 / $1,098.16 / $5,217.00	Facility		$737.57	$1,098.16	$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