Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,307.14 / $7,074.00 / $20,400.00	Facility		$1,307.14	$7,074.00	$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 $1,243.01 / $1,455.96 / $1,746.74	Professional		$1,243.01	$1,455.96	$1,746.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $914.17 / $1,298.28 / $1,791.96	Facility		$914.17	$1,298.28	$1,791.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $907.47 / $1,247.54 / $1,342.01	Facility		$907.47	$1,247.54	$1,342.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $923.99 / $1,386.21 / $5,217.00	Facility		$923.99	$1,386.21	$5,217.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $26,781.36	Facility		$16,860.72	$22,602.85	$26,781.36
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