Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $7,920.26 / $20,400.00	Facility		$1,758.00	$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 $1,612.24 / $1,888.45 / $2,265.60	Professional		$1,612.24	$1,888.45	$2,265.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,215.21 / $1,571.70 / $2,103.75	Facility		$1,215.21	$1,571.70	$2,103.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,203.50 / $1,657.58 / $1,761.43	Facility		$1,203.50	$1,657.58	$1,761.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,215.21 / $1,730.60 / $3,029.04	Facility		$1,215.21	$1,730.60	$3,029.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33,543.33 / $42,249.68 / $50,743.40	Facility		$33,543.33	$42,249.68	$50,743.40
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00