Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,337.16 / $5,116.62 / $20,400.00	Facility		$1,337.16	$5,116.62	$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 $1,147.85 / $1,344.51 / $1,613.03	Professional		$1,147.85	$1,344.51	$1,613.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $830.74 / $1,119.31 / $1,490.90	Facility		$830.74	$1,119.31	$1,490.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $848.23 / $1,172.50 / $1,226.77	Facility		$848.23	$1,172.50	$1,226.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $856.73 / $1,229.95 / $5,217.00	Facility		$856.73	$1,229.95	$5,217.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $26,781.36	Facility		$16,860.72	$22,602.85	$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