Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,353.90 / $7,920.26 / $20,400.00	Facility		$1,353.90	$7,920.26	$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 $1,149.13 / $1,346.01 / $1,614.82	Professional		$1,149.13	$1,346.01	$1,614.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $805.56 / $1,116.00 / $1,473.90	Facility		$805.56	$1,116.00	$1,473.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $841.58 / $1,153.07 / $1,243.52	Facility		$841.58	$1,153.07	$1,243.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $1,209.90 / $5,217.00	Facility		$842.00	$1,209.90	$5,217.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,914.95 / $21,418.17 / $26,781.36	Facility		$8,914.95	$21,418.17	$26,781.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,529.00 / $12,113.00	Facility		$1,981.00	$9,529.00	$12,113.00