Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,171.11 / $4,962.67 / $15,341.00	Facility		$1,171.11	$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 $1,119.18 / $1,310.93 / $1,572.74	Professional		$1,119.18	$1,310.93	$1,572.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $828.78 / $1,184.40 / $1,599.44	Facility		$828.78	$1,184.40	$1,599.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $812.42 / $1,107.04 / $1,208.01	Facility		$812.42	$1,107.04	$1,208.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $828.78 / $1,268.40 / $2,919.00	Facility		$828.78	$1,268.40	$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 $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00