Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,669.89 / $7,920.26 / $20,400.00	Facility		$1,669.89	$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 $1,382.35 / $1,644.02 / $1,972.35	Professional		$1,382.35	$1,644.02	$1,972.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $777.96 / $1,184.35 / $1,590.18	Facility		$777.96	$1,184.35	$1,590.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $804.09 / $1,220.71 / $1,501.47	Facility		$804.09	$1,220.71	$1,501.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $1,198.54 / $5,217.00	Facility		$842.00	$1,198.54	$5,217.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,820.30 / $4,901.89 / $6,365.28	Facility		$3,820.30	$4,901.89	$6,365.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $25,015.00	Facility		$2,155.00	$12,835.00	$25,015.00