Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,331.09 / $2,747.00 / $13,320.00	Facility		$1,331.09	$2,747.00	$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 $1,276.84 / $1,497.19 / $1,796.20	Professional		$1,276.84	$1,497.19	$1,796.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $943.88 / $1,274.24 / $1,809.55	Facility		$943.88	$1,274.24	$1,809.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $920.55 / $1,260.50 / $1,372.16	Facility		$920.55	$1,260.50	$1,372.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $943.88 / $1,365.63 / $5,217.00	Facility		$943.88	$1,365.63	$5,217.00
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 $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00