Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,245.17 / $5,957.50 / $13,320.00	Facility		$1,245.17	$5,957.50	$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 $1,189.50 / $1,393.29 / $1,671.55	Professional		$1,189.50	$1,393.29	$1,671.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $829.47 / $1,148.40 / $1,518.95	Facility		$829.47	$1,148.40	$1,518.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $866.29 / $1,183.89 / $1,277.02	Facility		$866.29	$1,183.89	$1,277.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $829.47 / $1,153.20 / $1,619.23	Facility		$829.47	$1,153.20	$1,619.23
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 $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00