Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.00 / $4,962.67 / $15,341.00	Facility		$1,486.00	$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 $1,347.69 / $1,578.58 / $1,893.84	Professional		$1,347.69	$1,578.58	$1,893.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $959.38 / $1,299.59 / $1,713.60	Facility		$959.38	$1,299.59	$1,713.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $978.21 / $1,336.65 / $1,454.57	Facility		$978.21	$1,336.65	$1,454.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $975.05 / $1,406.69 / $2,919.00	Facility		$975.05	$1,406.69	$2,919.00
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 $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00