Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,378.78 / $7,920.26 / $20,400.00	Facility		$1,378.78	$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 $1,185.40 / $1,390.26 / $1,667.92	Professional		$1,185.40	$1,390.26	$1,667.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $825.89 / $1,144.80 / $1,500.25	Facility		$825.89	$1,144.80	$1,500.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $855.14 / $1,170.86 / $1,267.64	Facility		$855.14	$1,170.86	$1,267.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $1,244.53 / $5,217.00	Facility		$842.00	$1,244.53	$5,217.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $10,171.54 / $12,117.15	Facility		$7,715.78	$10,171.54	$12,117.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,186.07 / $26,404.00	Facility		$2,155.00	$12,186.07	$26,404.00