Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,173.46 / $7,074.00 / $22,595.14	Facility		$1,173.46	$7,074.00	$22,595.14
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 $1,276.96 / $1,495.74 / $1,794.46	Professional		$1,276.96	$1,495.74	$1,794.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $932.76 / $1,330.43 / $1,846.57	Facility		$932.76	$1,330.43	$1,846.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $935.57 / $1,281.71 / $1,377.52	Facility		$935.57	$1,281.71	$1,377.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $954.04 / $1,421.40 / $2,748.00	Facility		$954.04	$1,421.40	$2,748.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $28,333.44	Facility		$16,860.72	$22,602.85	$28,333.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00