Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,056.07 / $5,776.35 / $13,320.00	Facility		$1,056.07	$5,776.35	$13,320.00
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 $1,007.37 / $1,180.07 / $1,415.74	Professional		$1,007.37	$1,180.07	$1,415.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $748.50 / $1,059.11 / $1,434.68	Facility		$748.50	$1,059.11	$1,434.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $733.53 / $995.62 / $1,081.38	Facility		$733.53	$995.62	$1,081.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $748.50 / $1,127.46 / $5,217.00	Facility		$748.50	$1,127.46	$5,217.00
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