Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,303.44 / $4,962.67 / $15,341.00	Facility		$1,303.44	$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 $1,112.70 / $1,303.33 / $1,563.62	Professional		$1,112.70	$1,303.33	$1,563.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $824.47 / $1,164.30 / $1,604.99	Facility		$824.47	$1,164.30	$1,604.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $809.12 / $1,111.53 / $1,196.61	Facility		$809.12	$1,111.53	$1,196.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $824.47 / $1,238.97 / $2,919.00	Facility		$824.47	$1,238.97	$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 / $25,015.00	Facility		$2,155.00	$12,835.00	$25,015.00