Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,265.17 / $4,962.67 / $15,341.00	Facility		$1,265.17	$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 $1,081.18 / $1,266.41 / $1,519.33	Professional		$1,081.18	$1,266.41	$1,519.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $764.42 / $1,061.28 / $1,377.00	Facility		$764.42	$1,061.28	$1,377.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $783.92 / $1,073.33 / $1,161.10	Facility		$783.92	$1,073.33	$1,161.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $780.00 / $1,143.09 / $2,919.00	Facility		$780.00	$1,143.09	$2,919.00
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 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00