Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,197.60 / $7,920.26 / $20,400.00	Facility		$1,197.60	$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 $1,025.14 / $1,200.78 / $1,440.59	Professional		$1,025.14	$1,200.78	$1,440.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $759.25 / $1,024.99 / $1,472.63	Facility		$759.25	$1,024.99	$1,472.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $747.10 / $1,023.09 / $1,099.47	Facility		$747.10	$1,023.09	$1,099.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $759.25 / $1,062.95 / $1,394.41	Facility		$759.25	$1,062.95	$1,394.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $9,638.43 / $12,117.15	Facility		$7,715.78	$9,638.43	$12,117.15
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